Coronary emergency and diabetes as manifestations of pheochromocytoma.
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.
Martin
José F V
JF
Martin
Luciana N C
LN
Yugar-Toledo
Juan C
JC
Loureiro
Afonso A C
AA
Cury
Patrícia M
PM
Júnior
Heitor M
HM
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