Normotensive Pheochromocytoma Critical Presentation

  • Raquel Espírito Santo Serviço de Endocrinologia, Diabetes e Metabolismo, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Lurdes Matos Serviço de Endocrinologia, Diabetes e Metabolismo, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Teresa Sabino Serviço de Endocrinologia, Diabetes e Metabolismo, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Paula Tavares Serviço de Cirurgia, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • José Mário Coutinho Serviço de Cirurgia, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Ana Agapito Serviço de Endocrinologia, Diabetes e Metabolismo, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal

Abstract

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.

Published
Jul 6, 2017
How to Cite
ESPÍRITO SANTO, Raquel et al. Normotensive Pheochromocytoma Critical Presentation. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, [S.l.], v. 12, n. 1, p. 77-80, july 2017. ISSN 2183-9514. Available at: <http://www.spedmjournal.com/index.php/spedm/article/view/87>. Date accessed: 20 sep. 2017.
Section
Clinical Cases