Yver L, Jaulin J P, Nanhuck H, Rivet P
Nephrology Service, Angoulême Hospital, France.
Am J Kidney Dis. 1991 Aug;18(2):276-7. doi: 10.1016/s0272-6386(12)80890-0.
A right adrenal tumor was found incidentally by renal echography in a 25-year-old man, who had been on hemodialysis for 4 years. Inquiry and clinical examination suggested pheochromocytoma, which was confirmed by plasma catecholamine measurements. Subsequent adrenalectomy was uneventful. Although hypertension, headache, and diaphoresis are common symptoms in a dialyzed patient, pheochromocytoma has to be eliminated in the presence of this clinical triad.
一名25岁男性在接受了4年血液透析治疗后,通过肾脏超声检查偶然发现右侧肾上腺肿瘤。询问病史和临床检查提示为嗜铬细胞瘤,血浆儿茶酚胺测定结果证实了这一诊断。随后进行的肾上腺切除术过程顺利。虽然高血压、头痛和多汗是透析患者的常见症状,但在出现这一临床三联征时必须排除嗜铬细胞瘤。