Pheochromocytoma

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Background

  • Rare tumor arising from chromaffin cells in adrenal medulla or other paraganglia in the body
  • Increased catecholamine production leading to its clinical manifestations

Clinical Features

Differential Diagnosis

Hypertension

Evaluation

  • Plasma free metanephrines
  • Urinary fractionated metanephrines
  • Plasma and urine catecholamines
  • CT with adrenal protocol imaging to localize tumor
  • PET scan may eventually be required
  • General lab features include hyperglycemia, hypercalcemia, and erythrocytosis

Management

Disposition

  • Admission to a monitored setting

See Also

External Links

References

  1. WJ Elliott, J Varon. Drugs used for the treatment of hypertensive emergencies. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. (Accessed on January 11, 2016.)