Delayed diagnosis of pheochromocytoma associated with chronic kidney disease.
Pheochromocytoma is a rare disease charactrized by excessive production of catecholamines, manifestating mainly with hypertension. We report the case of a 45-year-old woman with history of sudden onset dyspnea, headache, palpitations and sudoresis. An abdominal ultrasound was suggestive of chronic kidney disease (CKD). An abdominal computed tomography and magnetic resonance was performed and showed a mass in the topography of left adrenal. The patient underwent a surgery for the removal of the mass and became stable with normal blood pressure levels, but remained with CKD. The dalayed diagnosis of pheochromocytoma in the present case has contributed to the development of CKD.
Divisions of Nephrology and Cardiology, Hospital Universitário Walter Cantídio, School of Medicine, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
G H
GH
Fernandes
G B
GB
Silva Júnior
J H P
JH
Garcia
C R M
CR
Sobrinho
P L M M
PL
Albuquerque
A B
AB
Libório
E F
EF
Daher