A Case of Recurrent Glucocorticoid-Induced Pheochromocytoma Crisis during the Treatment of Urticaria |
Jee Young An1, Dong Ryul Kim1, Jong Yeol Oh1, Yang Chun Han2, Il Soo Lee2, Tae Jung Kown2, Bong Ryong Choi2 |
1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea 2Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea |
글루코코르티코이드 투여 후 반복적으로 유발된 갈색세포종 위기 1예 |
안지영1, 김동률1, 오종열1, 한양천2, 이일수2, 권태정2, 최봉룡2 |
1가톨릭대학교 의과대학 내과학교실 2창원파티마병원 내과 |
Correspondence:
Yang Chun Han, Tel: +82-55-270-1267, Fax: +82-55-270-1079, Email: hyc9494@naver.com |
Received: 23 July 2014 • Revised: 19 August 2014 • Accepted: 1 October 2014 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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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. |
Key Words:
Pheochromocytoma; Urticaria; Glucocorticoids |
주제어:
갈색세포종; 두드러기; 글루코코르티코이드 |
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