Herrera Ramón N, Miotti Julio A, Fuentes Claudio M, Robles Silvia P, Amenabar Jesús M, Luciardi Héctor L
Departamento de Clínica Médica, Hospital Centro de Salud Zenón J. Santillán, Tucumán, Argentina.
Medicina (B Aires). 2007;67(5):475-7.
A pheochromocytoma is an adrenal gland tumor that secretes epinephrine and norepinephrine hormones, and is responsible for regulating heart rate and blood pressure, among other functions. The condition can occur alone or in combination with other disorders, and genetic and environmental factors play a key role. Neurofibromatosis-1 (NF-1) an inherited "autosomal dominant" disorder is one of the most common genetic disorders, characterized by formation of neurofibromas (tumors involving nerve tissue) in the skin, subcutaneous tissue, cranial and spinal root nerves. NF1 generally is diagnosed by physical examination. There is no cure for NF1, but there are ways to treat some of its effects. Neurofibromatosis arterial hypertension caused by pheochromocytoma is extremely rare, less frecuent than 1% in childrens less than 10 years old, and young adults. We present a case of an extremely infrequent association between neurofibromatosis and a pheochromocytoma in a young woman with a newly diagnosed hypertension. We discuss the underlying pathophysiological mechanisms and clinical implications.
嗜铬细胞瘤是一种肾上腺肿瘤,可分泌肾上腺素和去甲肾上腺素激素,负责调节心率和血压等功能。这种疾病可单独发生,也可与其他疾病合并出现,遗传和环境因素起着关键作用。神经纤维瘤病1型(NF-1)是一种遗传性“常染色体显性”疾病,是最常见的遗传疾病之一,其特征是在皮肤、皮下组织、颅神经和脊神经根中形成神经纤维瘤(涉及神经组织的肿瘤)。NF1通常通过体格检查来诊断。目前尚无治愈NF1的方法,但有一些方法可以治疗其部分影响。由嗜铬细胞瘤引起的神经纤维瘤病性动脉高血压极为罕见,在10岁以下儿童和年轻人中发病率不到1%。我们报告了一例年轻女性新诊断为高血压,其神经纤维瘤病与嗜铬细胞瘤罕见关联的病例。我们讨论了潜在的病理生理机制和临床意义。