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Living with Pheochromocytoma/paraganglioma syndrome 4

An inherited condition with tumors called paragangliomas and pheochromocytomas that may make excess hormones.

Understanding Pheochromocytoma/paraganglioma syndrome 4

Pheochromocytoma/paraganglioma syndrome 4 is an inherited condition that causes paragangliomas and pheochromocytomas.

Paragangliomas are tumors that arise from neuroendocrine tissue along the body's midline, from the base of the skull to the pelvis. Pheochromocytomas are paragangliomas in the adrenal gland. Some make extra catecholamine hormones, causing high blood pressure, headache, sweating, pounding heartbeat, and anxiety. Others cause symptoms by pressing on nearby areas.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Tumors outside the adrenal glands
  • Tumors in the head and neck
  • High blood pressure and headache
  • Episodes of heavy sweating
  • Forceful heartbeat
  • Pale skin or anxiety

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Pheo Para Alliance may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: Pheo Para Alliance
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pheo Para Alliance
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tumors are making hormones?
How should I be monitored for new tumors?
Should relatives be tested?

Quick facts

InheritanceAutosomal Dominant

GARD lists this condition as autosomal dominant, which means one changed copy of a gene is enough to cause it. It doesn't name a specific gene.

Also known as: carotid body tumors and multiple extraadrenal pheochromocytomas; paraganglioma caused by mutation in sdhb; paraganglioma, familial malignant; paragangliomas 4; paragangliomas type 4; paragangliomas, hereditary extraadrenal

Patient organizations

Source: NIH GARD · Pheochromocytoma/paraganglioma syndrome 4GARD ID 10546 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Pheochromocytoma/paraganglioma syndrome 4.

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Explore actively recruiting Pheochromocytoma/paraganglioma syndrome 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pheochromocytoma/paraganglioma syndrome 4 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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