title: Mercury intoxication presenting with hypertension and tachycardia.
abstract: An 11 year old girl presented with hypertension and tachycardia. Excess urinary catecholamine excretion suggested phaeochromocytoma but imaging studies failed to demonstrate a tumour. Other symptoms included insomnia and weight loss, and she was found to have a raised concentration of mercury in blood and urine. Mercury intoxication should be considered in the differential diagnosis of hypertension with tachycardia even in patients presenting without the skin lesions typical of mercury intoxication and without a history of exposure.
authors.affiliation: Department of Paediatrics, Medical University of Luebeck, 23538 Luebeck, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Wössmann
authors.forename: M
authors.initials: M
authors.lastname: Kohl
authors.forename: G
authors.initials: G
authors.lastname: Grüning
authors.forename: P
authors.initials: P
authors.lastname: Bucsky
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis; D002648:Child; D005260:Female; D006801:Humans; D006973:Hypertension / Q000139:chemically induced*; D008630:Mercury Poisoning / Q000150:complications* / Q000175:diagnosis; D010673:Pheochromocytoma / Q000175:diagnosis; D013610:Tachycardia / Q000139:chemically induced*