Internal Medicine Investigations in: “The ghost Pheochromocytoma”

Internal Medicine Investigations in: “The ghost Pheochromocytoma”

Authors

  • Stefano Giordanetti Divisione di Medicina Interna, Ospedale degli Infermi, Biella
  • Giancarlo Vallese Divisione di Pneumologia, Ospedale degli Infermi, Biella
  • Giovanni Bertinieri Divisione di Medicina Interna, Ospedale degli Infermi, Biella

DOI:

https://doi.org/10.7175/cmi.v5i2S.1117

Keywords:

Pheochromocytoma, Pseudopheochromocytoma, Catecholamine incretion, Lipoma, Obstructive sleep apnoea syndrome

Abstract

A 58-year-old man presented with uncontrolled hypertension, elevated norepinephrine and dopamine but normal epinephrine levels. Computed tomography revealed a renal mass. The presence of a pheochromocytoma was excluded. Elevated catecholamines were finally diagnosed as due to sympathetic hyperactivity in the setting of obstructive sleep apnoea. Renal mass was treated as benign. The case will be presented as a detective-story, disclosing intriguing similarities between medical and police investigations.

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Published

2015-10-13

Issue

Vol. 5 No. 2S (2011)

Section

Case report

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