Normotensive Pheochromocytoma Critical Presentation
Introduction: Pheochromocytoma is a rare clinical disorder with great variability of the clinical onset, mimicking a variety of conditions. The initial presentation under severe and unusual shapes can make diagnosis difficult and delaying proper therapy.
Case Report: The clinical presentation depends on the magnitude of secretion and the nature of circulating catecholamines. Normotension is described in 5-15% of patients.
The authors report the case of a 40-year-old woman who had a past medical history of peripartum cardiomyopathy and paroxysms, with documented normotension (06/2007). The patient was observed due to acute respiratory insufficiency, diagnosed with dilated cardiomyopathy complicated by heart failure (05/2013). Thoracic computed tomography revealed a left adrenal mass, and further evaluation established the diagnosis of pheochromocytoma.
Discussion: Symptomatic improvement and reversal of cardiomyopathy were documented, after proper diagnosis and treatment.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors, when submitting this paper for publication, transfer to “Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo” the rights and copyrights of the article.