The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient
Pheochromocytomas are rare catecholamine producing neuroendocrine tumors. The incidence of these tumors is estimated to affect 0.8 per 100,000 person-years and is most common in the fourth to fifth decade of life with equal prevalence in men and women. We describe a case of an 84-year-old male who p...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2019/5707968 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562668027772928 |
|---|---|
| author | Christina N. DiMaria Lorena I. Rasquin Wikien A. Hung Pinto |
| author_facet | Christina N. DiMaria Lorena I. Rasquin Wikien A. Hung Pinto |
| author_sort | Christina N. DiMaria |
| collection | DOAJ |
| description | Pheochromocytomas are rare catecholamine producing neuroendocrine tumors. The incidence of these tumors is estimated to affect 0.8 per 100,000 person-years and is most common in the fourth to fifth decade of life with equal prevalence in men and women. We describe a case of an 84-year-old male who presented with cycling episodes of severe hypertension and hypotension after an elective cardiac catheterization. Workup of the labile blood pressure revealed a large suprarenal mass and free serum metanephrines (MN) 104 nmol/L (reference range 0.0-0.49 nmol/L) and normetanephrines (NMN) of 24 nmol/L (reference range 0.0-0.89 nmol/L), confirming the diagnosis of a pheochromocytoma. The patient’s labile blood pressure was a challenge to manage medically and improved only after aggressive hydration and an alpha-adrenergic antagonist. Of note, this is the second eldest patient known to be published to date with a pheochromocytoma. |
| format | Article |
| id | doaj-art-4da5278d3d47436b9f396ba27dccbd1b |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-4da5278d3d47436b9f396ba27dccbd1b2025-02-03T01:21:59ZengWileyCase Reports in Endocrinology2090-65012090-651X2019-01-01201910.1155/2019/57079685707968The Highs and Lows of an Unknown Pheochromocytoma in an Elderly PatientChristina N. DiMaria0Lorena I. Rasquin1Wikien A. Hung Pinto2Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA, 19141, USADepartment of Internal Medicine, Einstein Medical Center, Philadelphia, PA, 19141, USADepartment of Internal Medicine, Einstein Medical Center, Philadelphia, PA, 19141, USAPheochromocytomas are rare catecholamine producing neuroendocrine tumors. The incidence of these tumors is estimated to affect 0.8 per 100,000 person-years and is most common in the fourth to fifth decade of life with equal prevalence in men and women. We describe a case of an 84-year-old male who presented with cycling episodes of severe hypertension and hypotension after an elective cardiac catheterization. Workup of the labile blood pressure revealed a large suprarenal mass and free serum metanephrines (MN) 104 nmol/L (reference range 0.0-0.49 nmol/L) and normetanephrines (NMN) of 24 nmol/L (reference range 0.0-0.89 nmol/L), confirming the diagnosis of a pheochromocytoma. The patient’s labile blood pressure was a challenge to manage medically and improved only after aggressive hydration and an alpha-adrenergic antagonist. Of note, this is the second eldest patient known to be published to date with a pheochromocytoma.http://dx.doi.org/10.1155/2019/5707968 |
| spellingShingle | Christina N. DiMaria Lorena I. Rasquin Wikien A. Hung Pinto The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient Case Reports in Endocrinology |
| title | The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient |
| title_full | The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient |
| title_fullStr | The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient |
| title_full_unstemmed | The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient |
| title_short | The Highs and Lows of an Unknown Pheochromocytoma in an Elderly Patient |
| title_sort | highs and lows of an unknown pheochromocytoma in an elderly patient |
| url | http://dx.doi.org/10.1155/2019/5707968 |
| work_keys_str_mv | AT christinandimaria thehighsandlowsofanunknownpheochromocytomainanelderlypatient AT lorenairasquin thehighsandlowsofanunknownpheochromocytomainanelderlypatient AT wikienahungpinto thehighsandlowsofanunknownpheochromocytomainanelderlypatient AT christinandimaria highsandlowsofanunknownpheochromocytomainanelderlypatient AT lorenairasquin highsandlowsofanunknownpheochromocytomainanelderlypatient AT wikienahungpinto highsandlowsofanunknownpheochromocytomainanelderlypatient |