Diagnosis of pheochromocytoma in a hemodialysis patient through measurement of plasma catecholamines
| Autor: | Valerie Neirynck, Bram Vantomme, Marc De Clippele, Jan Donck, Anne Wauters, Simon van Hooland, Frédérique Huysman |
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| Rok vydání: | 2016 |
| Předmět: |
Tachycardia
medicine.medical_specialty business.industry medicine.medical_treatment Urology 030209 endocrinology & metabolism Hematology Metanephrines 030204 cardiovascular system & hematology medicine.disease Pallor End stage renal disease Surgery Pheochromocytoma Norepinephrine (medication) 03 medical and health sciences 0302 clinical medicine Nephrology medicine Hemodialysis medicine.symptom business Dialysis medicine.drug |
| Zdroj: | Hemodialysis International. 20:E6-E9 |
| ISSN: | 1492-7535 |
| DOI: | 10.1111/hdi.12394 |
| Popis: | We report the case of a patient on chronic hemodialysis treatment with paroxysms of severe arterial hypertension accompanied by tachycardia, pallor, sweating and tremor. Measurement of plasma catecholamines revealed norepinephrine level of 4625 pg/mL (reference range 191-225 pg/mL), epinephrine level of 1035 pg/mL (58-76 pg/mL) and dopamine level of 148 pg/mL (50-100 pg/mL). MRI showed a left adrenal mass of 2 cm. After the patient was started on an alpha-1 adrenergic receptor blocker, she underwent a left adrenalectomy. Anatomopathological examination confirmed the diagnosis of pheochromocytoma. Although urinary testing is not possible in anuric hemodialysis patients, diagnosis of pheochromocytoma can be made through measurement of plasma free metanephrines and/or plasma catecholamines. |
| Databáze: | OpenAIRE |
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