Normotensive pheochromocytoma. Pharmacologic, paraneoplastic and anesthetic considerations.
- Author(s): Kirby, BD
- Ham, J
- Fairley, HB
- Benowitz, N
- Schambelan, M
- et al.
Published Web Locationhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1010945/pdf/westjmed00192-0085.pdf
Although hypertension, sustained or paroxysmal, is usually a cardinal feature of pheochromocytoma, cases in which patients with this disorder were normotensive have been reported. To extend further the clinical spectrum associated with this tumor, we describe a normotensive patient in whom fever of unknown origin, anemia, thrombocytosis, abnormalities of hepatic function and pronounced elevation of the erythrocyte sedimentation rate were the presenting features of a norepinephrine- and dopamine-secreting pheochromocytoma. Complete resolution of the fever and of the hematologic and biochemical abnormalities followed removal of this benign neoplasm.