Difficult Diagnosis: Pheochromocytoma Presenting with Chest Pain and Rapid Alternating Hyper-and Hypotension

困難診斷：以胸痛合併忽高忽低血壓來呈現之嗜鉻細胞瘤個案

陳國智(Kuo-Chih Chen) ； 林朝順(Chaou-Shune Lin) ； 林依吟(I-Yin Lin) ； 王宗倫(Tzong-Luen Wang) ； 張志華(Chee-Fah Chong)

《Journal of Emergency Medicine, Taiwan》 9卷2期 (2007/06) Pp. 60-63

摘要

典型的嗜鉻細胞瘤個案之臨床表現通常是血壓升高、頭痛、冒汗及心跳過速。嗜鉻細胞瘤個案之正確處置有賴於臨床醫師是否對此疾病之典型及非典型症狀有充分的理解。本文報告一例70歲女性，因胸痛、喘及冒冷汗就醫，並且合併忽高忽低之血壓。經詳細檢查後，意外發現此病患原來是一位以非典型症狀呈現之嗜鉻細胞瘤個案。

關鍵字

嗜鉻細胞瘤 ； 高血壓 ； 低血壓

並列摘要

Pheochromocytomas usually present with hypertension and the symptom triad of headaches, diaphoresis and palpitations. The key to appropriate management of pheochromocytoma is clinical awareness of its protean manifestations, both typical and atypical. We describe a patient with pheochromocytoma who presented with chest pain, dyspnea, diaphoresis, and alternating episodes of hyperand hypotension. The case serves to illustrate an unexpected presentation of this tumor.

並列關鍵字

pheochromocytoma ； hypertension ； hypotension