A Case of Recurrent Glucocorticoid-Induced Pheochromocytoma Crisisb during the Treatment of Urticaria.
10.3904/kjm.2015.88.5.564
- Author:
Jee Young AN
1
;
Dong Ryul KIM
;
Jong Yeol OH
;
Yang Chun HAN
;
Il Soo LEE
;
Tae Jung KOWN
;
Bong Ryong CHOI
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pheochromocytoma;
Urticaria;
Glucocorticoids
- MeSH:
Aged;
Anesthesia;
Blood Pressure;
Diagnosis;
Dizziness;
Emergencies;
Female;
Glucocorticoids;
Humans;
Pheochromocytoma*;
Seizures;
Urticaria*
- From:Korean Journal of Medicine
2015;88(5):564-569
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma crisis is a life-threatening endocrine emergency. Stimuli that can elicit a pheochromocytoma crisis include anesthesia, tumor manipulation, and several drugs. Rarely, glucocorticoids can induce a pheochromocytoma crisis. Here, we describe the case of a 65-year-old female who developed an adrenergic crisis with blood pressure fluctuations, dizziness, and seizures after receiving glucocorticoids for the treatment of urticaria. The symptoms led us to speculate that a pheochromocytoma was present. We confirmed the diagnosis based on abdominal imaging and biochemical studies. The patient's symptoms improved after surgical removal of the pheochromocytoma.
