- 著者
- Takako SAEKI Kensuke SUZUKI Hajime YAMAZAKI Syoji MlYAMURA Hiroshi KOIKE Hideo MORISHITA Fumitake GEJYO
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.42, no.10, pp.1011-1015, 2003 (Released:2006-03-27)
- 参考文献数
- 32
- 被引用文献数
- 6 10
Although pheochromocytoma in a patient with endstage renal disease (ESRD) is considered extremely rare, we recently encountered 4 ESRD patients with pheochromocytoma. Three were symptomatic, and in the fourth patient the tumor was discovered as an adrenal incidentaloma. Plasma catecholamine levels were significantly increased in two patients. In each case, 131I-MIBG scintigraphy showed accumulation of the radionuclide in the adrenal tumor, which was identified by MRI or CT scanning, and adrenalectomy was conducted without serious complications. Although paroxysmal hypertension is a common symptom in patients with ESRD, pheochromocytoma must be eliminated by careful evaluation.(Internal Medicine 42: 1011-1015, 2003)