| Pheochromocytoma: cyclic attacks of hypertension alternating with hypotension. | |
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MedLine Citation:
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PMID: 18094673 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A 52-year-old woman was admitted to hospital with recurrent episodes of chest and abdominal pain, dyspnea, palpitations and diaphoresis. Continuous blood pressure recordings revealed rhythmic alternation between episodes of severe hypertension and episodes of hypotension. This cyclic hemodynamic crisis continued for 2 hours, with each cycle lasting around 15 min. INVESTIGATIONS: Physical examination, electrocardiography, chest radiography, continuous intra-arterial pressure monitoring, blood and urine analysis, echocardiography, abdominal CT and 131I miodobenzylguanidine scanning. DIAGNOSIS: Pheochromocytoma--a catecholamine secreting tumor. MANAGEMENT: Intravenous phentolamine and fluids, oral doxazosin and surgical removal of the tumor. |
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Authors:
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Sergio L Kobal; Esther Paran; Aamer Jamali; Solly Mizrahi; Robert J Siegel; Jonathan Leor |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Nature clinical practice. Cardiovascular medicine Volume: 5 ISSN: 1743-4300 ISO Abbreviation: - Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2007-12-20 Completed Date: 2008-01-18 Revised Date: 2008-02-07 |
Medline Journal Info:
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Nlm Unique ID: 101226507 Medline TA: Nat Clin Pract Cardiovasc Med Country: England |
Other Details:
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Languages: eng Pagination: 53-7 Citation Subset: IM |
Affiliation:
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Department of Surgery A, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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3-Iodobenzylguanidine
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diagnostic use Administration, Oral Adrenal Gland Neoplasms / complications, diagnosis*, physiopathology, therapy Adrenalectomy Adrenergic alpha-Antagonists / administration & dosage Antihypertensive Agents / administration & dosage Blood Chemical Analysis Blood Pressure* Blood Pressure Determination Combined Modality Therapy Electrocardiography Female Fluid Therapy Heart Rate Humans Hypertension / etiology*, physiopathology, therapy Hypotension / etiology*, physiopathology, therapy* Infusions, Intravenous Middle Aged Pheochromocytoma / complications, diagnosis*, physiopathology, therapy Physical Examination Radiography, Thoracic Radiopharmaceuticals / diagnostic use Tomography, X-Ray Computed Treatment Outcome Urinalysis |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic alpha-Antagonists; 0/Antihypertensive Agents; 0/Radiopharmaceuticals; 77679-27-7/3-Iodobenzylguanidine |
| Comments/Corrections | |
Comment In:
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Nat Clin Pract Cardiovasc Med. 2008 Feb;5(2):E1
[PMID:
18223538
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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