title: Coronary emergency and diabetes as manifestations of pheochromocytoma.
abstract: We report on a woman with refractory hypertension and diabetes suffering from hypertensive crises, one with chest pain suggesting acute coronary syndrome, and another with an abdominal pain, after which a para-aortic abdominal mass was diagnosed, by ultrasound, as pheochromocytoma, later confirmed by an adrenal scintigraphic study with (131)I-labeled metaiodobenzylguanidine. The patient was successfully treated with complete reversal of hypertension and diabetes. Our case illustrates the importance of maintaining a high index of suspicion in patients simultaneously presenting with an acute myocardial event and hypertensive crises.
authors.forename: José F V
authors.initials: JF
authors.lastname: Martin
authors.forename: Luciana N C
authors.initials: LN
authors.lastname: Martin
authors.forename: Juan C
authors.initials: JC
authors.lastname: Yugar-Toledo
authors.forename: Afonso A C
authors.initials: AA
authors.lastname: Loureiro
authors.forename: Patrícia M
authors.initials: PM
authors.lastname: Cury
authors.forename: Heitor M
authors.initials: HM
authors.lastname: Júnior
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000503:physiopathology; D002637:Chest Pain / Q000175:diagnosis / Q000503:physiopathology; D048909:Diabetes Complications / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000503:physiopathology