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Tytuł:
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Pheochromocytoma crisis in a patient with newly diagnosed neurofibromatosis type 1.
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Autorzy:
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Murakami H; Emergency and Critical Care Medicine, Hitachi General Hospital, Hitachi, Ibaraki, Japan.
Sonoo T; Emergency and Critical Care Medicine, Hitachi General Hospital, Hitachi, Ibaraki, Japan.
Hashimoto H; Emergency and Critical Care Medicine, Hitachi General Hospital, Hitachi, Ibaraki, Japan.
Nakamura K; Emergency and Critical Care Medicine, Hitachi General Hospital, Hitachi, Ibaraki, Japan .
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Źródło:
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BMJ case reports [BMJ Case Rep] 2021 Jan 25; Vol. 14 (1). Date of Electronic Publication: 2021 Jan 25.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BMJ Pub. Group
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MeSH Terms:
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Neurofibromatosis 1/*diagnosis
Pheochromocytoma/*diagnosis
Tachycardia, Ventricular/*therapy
Water-Electrolyte Imbalance/*therapy
3-Iodobenzylguanidine ; Adrenalectomy ; Alcoholism/complications ; Catecholamines/urine ; Chlorides/blood ; Humans ; Hypokalemia/etiology ; Hypokalemia/metabolism ; Hypokalemia/therapy ; Hyponatremia/etiology ; Hyponatremia/metabolism ; Hyponatremia/therapy ; Hypophosphatemia/etiology ; Hypophosphatemia/metabolism ; Hypophosphatemia/therapy ; Male ; Metanephrine/urine ; Middle Aged ; Pheochromocytoma/complications ; Pheochromocytoma/metabolism ; Pheochromocytoma/surgery ; Radionuclide Imaging ; Radiopharmaceuticals ; Tachycardia, Ventricular/etiology ; Water-Electrolyte Imbalance/etiology ; Water-Electrolyte Imbalance/metabolism
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References:
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Contributed Indexing:
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Keywords: adrenal disorders; adult intensive care
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Substance Nomenclature:
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0 (Catecholamines)
0 (Chlorides)
0 (Radiopharmaceuticals)
35MRW7B4AD (3-Iodobenzylguanidine)
5001-33-2 (Metanephrine)
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Entry Date(s):
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Date Created: 20210126 Date Completed: 20210222 Latest Revision: 20230126
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Update Code:
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20240105
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PubMed Central ID:
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PMC7839903
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DOI:
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10.1136/bcr-2020-237231
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PMID:
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33495177
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Pheochromocytoma occasionally engenders catecholamine-induced hypertension crisis. Pheochromocytoma is clinically identified in 0.1%-5.7% of patients with neurofibromatosis type 1 (NF1), which is 10 times more frequently than in healthy individuals. This report describes a case of newly diagnosed NF1 presenting with pheochromocytoma crisis, with severe electrolyte depletion and deteriorating recurrent ventricular tachycardia storm. Characteristic skin lesions such as café-au-lait macules and neurofibromas contributed to the diagnosis of NF1 and pheochromocytoma. No recurrence of electrolyte depletion was found after the adrenalectomy. Primary care physicians must distinguish the characteristic skin lesions of NF1, such as café-au-lait macules and neurofibromas and recognise the risk for pheochromocytoma.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)