Pitfalls in the diagnosis of phaeochromocytoma
Pitfalls in the diagnosis of phaeochromocytoma
复制标题
嗜铬细胞瘤诊断中的误区
DOI：
10.1136/bmj.328.7440.629
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
M. Krause
中科院分区：
文献类型：
--
作者：
L. Zendron;J. Fehrenbach;C. Taverna;M. Krause
Phaeochromocytoma, a rare endocrine disorder causing arterial hypertension, is found in less than 0.1% of patients with hypertension.1 The diagnosis is excluded by the repeated finding of normal catecholamine (for example, dopamine) concentrations in urine or blood. If catecholamine concentrations are increased in combination with an adrenal mass, phaeochromocytoma is usually confirmed by an increased uptake of a radiolabelled catecholamine precursor in the region of the adrenal tumour. We present a case in which the clinical presentation and the results of laboratory, radiological, and nuclear investigations led to an incorrect diagnosis of phaeochromocytoma.
A 73 year old woman presented with severe headache, tinnitus, and a blood pressure of 240/140 mm Hg. She had been treated for arterial hypertension and diabetes mellitus for over 10 years. During a search for secondary hypertension, abdominal ultrasonography showed an enlargement of the right adrenal gland of 3.5 cm. The dopamine level in a 24 hour urine was 25 252 nmol …
影响因子：
8.7
作者：
Klein, R;Sharrett, AR;Evans, G
通讯作者：
Evans, G
影响因子：
13.7
作者：
D. Jabs;W. Green;Robin Fox;B. Polk;J. Bartlett
通讯作者：
D. Jabs;W. Green;Robin Fox;B. Polk;J. Bartlett
白塞氏病的眼底变化。
DOI：
--
发表时间：
1997
期刊：
Transactions of the American Ophthalmological Society
影响因子：
--
作者：
Dominguez,LN;Irvine,AR
通讯作者：
Irvine,AR