Korean J Med.  2015 May;88(5):564-569. 10.3904/kjm.2015.88.5.564.

A Case of Recurrent Glucocorticoid-Induced Pheochromocytoma Crisisb during the Treatment of Urticaria

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 2Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea. hyc9494@naver.com

Abstract

Pheochromocytoma crisis is a life-threatening endocrine emergency. Stimuli that can elicit a pheochromocytoma crisis include anesthesia, tumor manipulation, and several drugs. Rarely, glucocorticoids can induce a pheochromocytoma crisis. Here, we describe the case of a 65-year-old female who developed an adrenergic crisis with blood pressure fluctuations, dizziness, and seizures after receiving glucocorticoids for the treatment of urticaria. The symptoms led us to speculate that a pheochromocytoma was present. We confirmed the diagnosis based on abdominal imaging and biochemical studies. The patient's symptoms improved after surgical removal of the pheochromocytoma.

Keyword

Pheochromocytoma; Urticaria; Glucocorticoids

MeSH Terms

Aged
Anesthesia
Blood Pressure
Diagnosis
Dizziness
Emergencies
Female
Glucocorticoids
Humans
Pheochromocytoma*
Seizures
Urticaria*
Glucocorticoids
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