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당뇨병성 케톤산증 및 심내막염 환자에 동반된 갈색세포종 1예

Other Titles
 A Case of Pheochromocytoma Associated with Diabetic Ketoacidosis and Infective Endocarditis 
Authors
 배재현  ;  최은영  ;  허지혜  ;  문도창  ;  신승환  ;  김광준  ;  이병완  ;  안철우  ;  차봉수  ;  이현철  ;  강은석 
Citation
 Journal of Korean Diabetes, Vol.14(3) : 156-161, 2013 
Journal Title
 Journal of Korean Diabetes 
ISSN
 2233-7431 
Issue Date
2013
Keywords
The patient having diabetes with a stroke ; Diabetes self-care ; Social welfare approach
Abstract
Pheochromocytoma is a rare neuroendocrine tumor that is usually derived from adrenal medulla or chromaffin cells along with sympathetic ganglia. In Western countries, the prevalence of pheochromocytoma is estimated to be between 1:6,500 and 1:2,500, compared with an incidence in the United States of 500 to 1,100 cases per year. Despite this low incidence, pheochromocytoma should always be considered for differential diagnoses because previous studies have shown that this condition can be cured in approximately 90% of cases. However, an untreated tumor is likely to be fatal due to catecholamine-induced malignant hypertension, heart failure, myocardial infarction, stroke, ventricular arrhythmias or metastatic disease. Symptoms that result primarily from excess circulating catecholamines and hypertension include severe headaches, generalized inappropriate sweating and palpitations (with tachycardia or occasionally bradycardia). Pheochromocytoma, however, has highly variable and heterogeneous clinical manifestations, including fever, general weakness and dyspepsia, and can be observed in patients who are suffering from infectious diseases. Several of such case reports have been presented, but most of these included infectious patients with high blood pressure and severe fluctuations. In this study, we presented the case of a 53-year-old male who showed normal blood pressure, but had a sustained fever. He was diagnosed with diabetic ketoacidosis, infective endocarditis and asymptomatic adrenal incidentaloma. Despite treatment with antibiotics and valve replacement, the fever persisted. After the patient underwent evaluation for the fever, adrenal incidentaloma was identified as pheochromocytoma. After removal of the abdominal mass, his fever improved.
Files in This Item:
T201305158.pdf Download
DOI
10.4093/jkd.2013.14.3.156
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eun Seok(강은석) ORCID logo https://orcid.org/0000-0002-0364-4675
Kim, Kwang Joon(김광준) ORCID logo https://orcid.org/0000-0002-5554-8255
Moon, Do Chang(문도창)
Bae, Jae Hyun(배재현) ORCID logo https://orcid.org/0000-0002-3462-890X
Shin, Seung Hwan(신승환)
Ahn, Chul Woo(안철우) ORCID logo https://orcid.org/0000-0003-3733-7486
Lee, Byung Wan(이병완) ORCID logo https://orcid.org/0000-0002-9899-4992
Lee, Hyun Chul(이현철)
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
Choe, Eun Yeong(최은영)
Huh, Ji Hye(허지혜)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88799
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