A case of pheochromocytoma of the urinary bladder in a long-term hemodialysis patient.
The development is reported of a pheochromocytoma of the urinary bladder in a 33-year-old patient with systemic lupus erythematosus who had undergone long-term hemodialysis. A hypertensive episode followed by defecation was demonstrated by the monitoring of blood pressure with a portable automated sphygmomanometer without elevation of plasma catecholamines. The tumor was surgically removed and normalization of the patient's blood pressure followed. Thus, monitoring of blood pressure for 24 h proved useful for the diagnosis of pheochromocytoma and, in particular, of paroxysmal hypertension.
Misawa
T
T
Second Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.
Shibasaki
T
T
Toshima
R
R
Kasai
K
K
Sugimoto
K
K
Matsuda
H
H
Ohno
I
I
Ishimoto
F
F
Sakai
O
O
D000328:Adult; D015924:Blood Pressure Monitors; D002395:Catecholamines / Q000097:blood; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000628:therapy; D008181:Lupus Nephritis / Q000209:etiology / Q000473:pathology; D010673:Pheochromocytoma / Q000150:complications / Q000473:pathology*; D006435:Renal Dialysis; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000473:pathology*
D002395:Catecholamines