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KMID : 0882420150880050564
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Korean Journal of Medicine
2015 Volume.88 No. 5 p.564 ~ p.569
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A Case of Recurrent Glucocorticoid-Induced Pheochromocytoma Crisis during the Treatment of Urticaria
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An Jee-Young
Kim Dong-Ryul
Oh Jong-Yeol
Han Yang-Chun
Lee Il-Soo
Kown Tae-Jung
Choi Bong-Ryong
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Abstract
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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.
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KEYWORD
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Pheochromocytoma, Urticaria, Glucocorticoids
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