Wössmann W, Kohl M, Grüning G, Bucsky P
Department of Paediatrics, Medical University of Luebeck, 23538 Luebeck, Germany.
Arch Dis Child. 1999 Jun;80(6):556-7. doi: 10.1136/adc.80.6.556.
An 11 year old girl presented with hypertension and tachycardia. Excess urinary catecholamine excretion suggested phaeochromocytoma but imaging studies failed to demonstrate a tumour. Other symptoms included insomnia and weight loss, and she was found to have a raised concentration of mercury in blood and urine. Mercury intoxication should be considered in the differential diagnosis of hypertension with tachycardia even in patients presenting without the skin lesions typical of mercury intoxication and without a history of exposure.
一名11岁女孩出现高血压和心动过速。尿儿茶酚胺排泄过多提示嗜铬细胞瘤，但影像学检查未发现肿瘤。其他症状包括失眠和体重减轻，并且发现她血液和尿液中的汞浓度升高。即使在没有典型汞中毒皮肤病变且无接触史的患者中，在高血压伴心动过速的鉴别诊断中也应考虑汞中毒。
