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一例以急性冠状动脉综合征为表现的嗜铬细胞瘤病例。

A Case of Pheochromocytoma Presenting With Acute Coronary Syndrome.

作者信息

Dhadwad Jagannath S, Kadiwala Ramiz S, Kishore Sheetal N, Chitnis Anish, Sanghani Dhairya

机构信息

General Medicine, Dr. Dnyandeo Yashwantrao Patil Medical College, Hospital and Research Centre, Dr. Dnyandeo Yashwantrao Patil Vidyapeeth (Deemed to be University) Pune, Pune, IND.

出版信息

Cureus. 2024 May 30;16(5):e61389. doi: 10.7759/cureus.61389. eCollection 2024 May.

Abstract

Pheochromocytoma is a rare endocrine tumor originating from chromaffin cells of the adrenal medulla, which leads to the overproduction of catecholamines. Most symptoms, ranging from simple headaches to life-threatening cardiac arrests, are due to excess catecholamines. Usually, patients present with persistent or paroxysmal hypertension, headaches, sweating, and palpitations. Here, we describe a case that initially presented as an acute coronary syndrome and was treated accordingly. However, she had a history of nocturnal awakenings and panic attacks, which she had ignored for a month. On further evaluation, it turned out to be pheochromocytoma. This case report will surely help physicians better diagnose and treat such cases.

摘要

嗜铬细胞瘤是一种罕见的内分泌肿瘤,起源于肾上腺髓质的嗜铬细胞,可导致儿茶酚胺分泌过多。大多数症状,从简单的头痛到危及生命的心脏骤停,都是由儿茶酚胺过量引起的。通常,患者会出现持续性或阵发性高血压、头痛、出汗和心悸。在此,我们描述一例最初表现为急性冠状动脉综合征并接受相应治疗的病例。然而,她有夜间惊醒和惊恐发作的病史,她对此忽视了一个月。进一步评估后,发现是嗜铬细胞瘤。本病例报告肯定会帮助医生更好地诊断和治疗此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11df/11214641/155c6df83d4a/cureus-0016-00000061389-i01.jpg

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