A case of extreme hemodynamic lability and hypocalcemia.
An epinephrine-secreting pheochromocytoma can present with a confusing picture of hemodynamic lability with rapid fluctuations between hypo- and hypertension. They are challenging to manage and diagnose. We herein present the case of a 44-year-old patient who presented with extreme hemodynamic lability due to an epinephrine-secreting tumor. We discuss the initial management, diagnosis, and definitive therapy of this relatively rare type of pheochromocytoma.
Knauf
Felix
F
Section of Nephrology, Yale University School of Medicine, New Haven, Connecticut 06520-8029, USA.
Desir
Gary V
GV
Perazella
Mark A
MA
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D004837:Epinephrine / Q000378:metabolism*; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006996:Hypocalcemia / Q000175:diagnosis* / Q000209:etiology; D007022:Hypotension / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D008297:Male; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
D004837:Epinephrine