SECONDARY HYPERTENSION DUE TO PHEOCHROMOCYTOMA. CASE REPORT

被引:0
作者
Timofte, Mariuca [1 ]
Leon-Constantin, Maria-Magdalena [1 ]
Mastaleru, Alexandra [1 ]
Mitu, F. [1 ]
机构
[1] Grigore T Popa Univ Med & Pharm Iasi, Fac Med, Dept Med Specialties 1, Iasi, Romania
来源
MEDICAL-SURGICAL JOURNAL-REVISTA MEDICO-CHIRURGICALA | 2019年 / 123卷 / 02期
关键词
SECONDARY HYPERTENSION; PHEOCHROMOCYTOMA; ALPHA-BLOCKERS; SURGICAL TREATMENT; MANAGEMENT; GENETICS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pheochromocytoma, a rare endocrine tumor characterized by massive catecholamine secretion is found in less than 1% of patients with hypertension. We report the case of a 40-year-old patient who presented to the VIth Medical Clinic of the Iasi Rehabilitation Hospital with discrete digestive and anxiety symptoms, normal blood pressure, without orthostatic hypotension and sudden paroxysms. The diagnosis was slightly late, with the random detection of clinical and biological changes. Laboratory tests detected a right adrenal tumor and twice the normal plasma and urinary metanephrine and normetanephrine levels confirmed the imaging diagnosis. Surgery and careful postoperative monitoring yearly, possibly for life, are key elements in the management of pheochromocytoma. Prior to surgery, the patient required treatment with alpha-blockers and nitrates to maintain normal blood pressure levels.
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收藏
页码:271 / 274
页数:4
相关论文
共 11 条
[1]   Endocrine hypertension [J].
Amar, L. ;
Lepoutre, C. ;
Bobrie, G. ;
Plouin, P-F .
REVUE DE MEDECINE INTERNE, 2010, 31 (10) :697-704
[2]  
Costache II, 2016, MED-SURG J, V120, P783
[3]  
Gheorghe L, 2018, MED-SURG J, V122, P16
[4]  
Greenleaf Christopher E, 2017, Proc (Bayl Univ Med Cent), V30, P314
[5]   Update on Modern Management of Pheochromocytoma and Paraganglioma [J].
Lenders, Jacques W. M. ;
Eisenhofer, Graeme .
ENDOCRINOLOGY AND METABOLISM, 2017, 32 (02) :152-161
[6]   Clevidipine for hypertension treatment in pheochromocytoma surgery [J].
Luis-Garcia, C. ;
Arbones-Aran, E. ;
Teixell-Aleu, C. ;
Drente-Poch, L. ;
Trillo-Urrutia, L. .
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2018, 65 (04) :225-228
[7]   Pheochromocytoma and paraganglioma: Diagnosis, genetics, management, and treatment [J].
Martucci, Victoria L. ;
Pacak, Karel .
CURRENT PROBLEMS IN CANCER, 2014, 38 (01) :7-41
[8]   Hypertension, catecholamine hypersecretion and potential for metastasis: recent progress in the pathophysiology and genetics of pheochromocytoma and paraganglioma [J].
Plouin, Pierre-Francois ;
Amar, Laurence ;
Gimenez-Roqueplo, Anne-Paule .
BULLETIN DE L ACADEMIE NATIONALE DE MEDECINE, 2015, 199 (2-3) :313-319
[9]  
Satendra M, 2014, REV PORT CARDIOL, V33, P177
[10]   The Evaluation and Treatment of Endocrine Forms of Hypertension [J].
Velasco, Alejandro ;
Vongpatanasin, Wanpen .
CURRENT CARDIOLOGY REPORTS, 2014, 16 (09)