An apparent phaeochromocytoma and abnormal thyroid function tests.
A 41-year-old lady presented with classical symptoms of a phaeochromocytoma and markedly elevated urinary adrenaline concentration. Urinary fractionated metanephrine and normetanephrine concentrations were within the normal reference range. Computed tomography of the abdomen/pelvis and I(123) meta-iodobenzylguanidine scans were negative. Factitious adrenaline use was established as the diagnosis.
King
T F J
TF
Department of Endocrinology, Beaumont Hospital, Dublin 9, Ireland.
Shea
P O
PO
Sullivan
E P O
EP
Srinivasan
R
R
Griffin
A
A
Fitzgerald
R
R
Tormey
W
W
Smith
D
D
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis*; D000311:Adrenal Glands / Q000000981:diagnostic imaging; D000328:Adult; D004837:Epinephrine / Q000652:urine; D005260:Female; D006801:Humans; D008676:Metanephrine / Q000652:urine; D009647:Normetanephrine / Q000652:urine; D010673:Pheochromocytoma / Q000175:diagnosis*; D013960:Thyroid Function Tests; D014057:Tomography, X-Ray Computed
D009647:Normetanephrine; D008676:Metanephrine; D004837:Epinephrine