The sympathetic neural hyperalgesia/edema syndrome, a common cause of female pelvic pain, manifesting as a pseudopheochromocytoma with marked clinical improvement with sympathomimetic amines.
OBJECTIVE
To show that a common but not well-known disorder of the sympathetic nervous system can present with symptoms suggesting a pheochromocytoma.


METHODS
The standard treatment of this disorder (which is characterized by an abnormal water load test), i.e., sympathomimetic amine therapy, was given to a woman with paroxysmal tachycardia and hypertension.


RESULTS
Over a period of six months, the treatment eradicated the paroxysmal symptoms to which all other therapies had failed.


CONCLUSIONS
This condition recently named as sympathetic neural hyperalgesia edema syndrome can present with symptoms of a pheochromocytoma and will respond to therapy with low dosages of dextroamphetamine sulfate.
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Check
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Cohen
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Katsoff
D000236:Adenoma / Q000150:complications; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000188:drug therapy* / Q000209:etiology; D003913:Dextroamphetamine / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D006930:Hyperalgesia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006973:Hypertension / Q000150:complications; D017699:Pelvic Pain / Q000209:etiology; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D013566:Sympathomimetics / Q000627:therapeutic use*; D013577:Syndrome; D013610:Tachycardia / Q000188:drug therapy* / Q000209:etiology
D013566:Sympathomimetics; D003913:Dextroamphetamine