Nishiyama J, Yoshizawa N, Ohshima S, Takeuchi A, Kubota T, Kondoh S, Oshikawa Y, Akashi Y, Oda T, Suzuki Y
Second Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
Nihon Jinzo Gakkai Shi. 1992 Aug;34(8):951-7.
We describe a patient who presented frostbite in extremities in addition to characteristic symptoms, such as severe hypertension, sweating attacks, palpitations and headache. The patient was eventually diagnosed as having single extra-adrenal pheochromocytoma. The frostbite in extremities rapidly resolved after the removal of the tumor as well as other characteristic clinical symptoms. It is speculated that this frostbite might have been induced by severe continuous constriction of peripheral artery and loss of heat by frequent sweating attacks. Regarding cutaneous symptoms in this disease, pallor, acrocyanosis and cold extremities are commonly found. However, it seems that typical frostbite associated with pheochromocytoma has not been reported so far.
我们描述了一名患者,其除了有严重高血压、出汗发作、心悸和头痛等典型症状外,还出现了四肢冻伤。该患者最终被诊断为单发肾上腺外嗜铬细胞瘤。切除肿瘤后,四肢冻伤以及其他典型临床症状迅速缓解。据推测,这种冻伤可能是由外周动脉的严重持续收缩以及频繁出汗发作导致的热量散失所引起的。关于这种疾病的皮肤症状,常见面色苍白、肢端发绀和四肢冰冷。然而,迄今为止似乎尚未有与嗜铬细胞瘤相关的典型冻伤的报道。