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Disorders of the Autonomic Nervous System

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Updated: Jul 7, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
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Published on: September 15, 2017

[Hypertension and hyperhidrosis. Pheochromocytoma].

J Mettler1, E Battegay, T Egelhof

  • 1Medizinische Poliklinik/Hypertoniesprechstunde, Universitätsspital Basel. julian.mettler@unibas.ch

Praxis
|February 29, 2008
PubMed
Summary

Refractory hypertension in a 39-year-old woman was diagnosed as pheochromocytoma. Surgical removal of the tumor successfully treated the condition.

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Area of Science:

  • Endocrinology
  • Nephrology
  • Oncology

Background:

  • Refractory hypertension poses a significant clinical challenge, often necessitating investigation into secondary causes.
  • Pheochromocytoma, a rare neuroendocrine tumor, is a critical, treatable cause of secondary hypertension.

Observation:

  • A 39-year-old woman presented with severe, difficult-to-control hypertension.
  • Clinical history suggested potential underlying endocrine abnormalities, specifically pheochromocytoma.

Findings:

  • Diagnostic workup confirmed pheochromocytoma through elevated plasma metanephrine levels.
  • Computer tomography imaging localized the adrenal tumor.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing pheochromocytoma-induced hypertension.
  • This case highlights the importance of considering rare endocrine causes in refractory hypertension cases.