Radó J, Arányi J, Deák G, Rétai G
Fövárosi Uzsoki utcai Kórház-Rendelöintézet, III. Belgyógyászati Osztály.
Orv Hetil. 1993 Apr 25;134(17):919-22.
The diagnosis of phaeocromocytoma could be excluded in a 57 year-old man suffering from "typical" hypertensive paroxysms by using modern standardized technics. The presented disorder which has been named pseudophaeochromocytoma may include different pathogenetical entities. In the observed case the background of the disorder was thought to be "beta-receptor hyperresponsiveness" which has been confirmed by the determination of the urinary catecholamine excretion as well as by the introduction of a new isoproterenol infusion method. In response to beta-blocking agents (which are contraindicated in phaeochromocytoma) no further hypertensive crises occurred, resulting in a dramatic improvement of the patient's condition.
通过使用现代标准化技术，可以排除一名患有“典型”高血压发作的57岁男性嗜铬细胞瘤的诊断。所呈现的这种疾病被命名为假性嗜铬细胞瘤，可能包括不同的发病机制实体。在观察到的病例中，该疾病的背景被认为是“β受体高反应性”，这已通过尿儿茶酚胺排泄测定以及引入一种新的异丙肾上腺素输注方法得到证实。对β受体阻滞剂（嗜铬细胞瘤禁用）有反应，未再发生高血压危象，患者病情显著改善。
