title: Pheochromocytoma causing cardiomyopathy, ischemic stroke and acute arterial thrombosis: a case report and review of the literature.
abstract: Pheochromocytoma is a rare catecholamine secreting neuroendocrine tumor with an estimated annual incidence of one to four per million and prevalence among hypertensive patients of 0.1 to 0.6%. The symptoms and signs of pheochromocytoma include the classic triad of episodic headache, increased sweating, and palpitations. These are as a result of an uncontrolled release of catecholamines. There exist only a small number of reports of pheochromocytoma simulating hypertrophic obstructive cardiomyopathy, few reports of pheochromocytoma-induced ischemic stroke and only two reported cases with pheochromocytoma-induced arterial thrombosis. We present a case of multiple, rare clinical complications of pheochromocytoma occurring in the same patient and the review of literature of these complications.
authors.affiliation: Department of Internal Medicine, Danbury Hospital, Danbury, CT, USA.
authors.forename: Tine
authors.initials: T
authors.lastname: Vindenes
authors.forename: Natalie
authors.initials: N
authors.lastname: Crump
authors.forename: Ritche
authors.initials: R
authors.lastname: Casenas
authors.forename: Kelly
authors.initials: K
authors.lastname: Wood
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis; D001366:Axillary Artery; D001706:Biopsy; D001916:Brachial Artery; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology*; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed