Dussarat G V, Dalger J, Chaix A F
Service de Cardiologie, Hôpital d'Instruction des Armées Sainte-Anne, Toulon-Naval.
Ann Cardiol Angeiol (Paris). 1988 Apr;37(4):195-7.
The authors report, in a 66 y. old patient, a case of pheochromocytoma, interesting in that its initial clinical picture is one of amiodarone-induced hyperthyroidism with orthostatic hypotension, and a persisting severe weight loss in spite of the improvement of the thyroid work-up is the indication of an adrenal tumor discovered on tomodensitometry. The accidental combination of these two endocrine diseases delays the already unusual manifestation of this pheochromocytoma and emphasizes the role of radiographic (tomodensitometry) and/or isotopic (MIBG) imaging in the "discovery" of these tumors.
作者报告了一例66岁患者的嗜铬细胞瘤病例，该病例有趣之处在于其初始临床表现为胺碘酮诱发的甲状腺功能亢进伴体位性低血压，尽管甲状腺检查有所改善，但持续严重体重减轻提示经计算机断层扫描发现肾上腺肿瘤。这两种内分泌疾病的意外合并延误了该嗜铬细胞瘤本就不常见的表现，并强调了放射学（计算机断层扫描）和/或同位素（间碘苄胍）成像在这些肿瘤“发现”中的作用。
