title: [Panic attack: viewpoint of the internist].
abstract: The first part of this paper presents the history of a panic attack occurring during an acute hypertensive crisis, which led to the discovery of a left adrenal phaeochromocytoma. The second part of the paper presents a discussion of conditions that can simulate panic attacks. Accounts are given of: acute hypertensive crises, the post-ictal phase of epilepsy, overt tetany, certain forms of hypercalcaemia, hyperventilation syndromes, and lastly, paroxysmal dysrhythmias. The third part of the paper discusses panic reactions occurring in a variety of clinical conditions, in particular, once again, hypertensive attacks, profuse external haemorrhage, dyspnoeic attacks and hypoglycaemic attacks. These different manifestations demonstrate that failure to recognise a clinical sub-stratum responsible for, or co-existing with, a panic attack leads to the risk that treatment of a neuro-psychological nature may be inappropriate.
authors.forename: A
authors.initials: A
authors.lastname: Carré
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D007388:Internal Medicine; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D016584:Panic Disorder / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D010348:Patient Care Team; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis / Q000523:psychology
vernacular_title: L'attaque de panique: point de vue de l'interniste.