심근염 형태로 나타난 갈색 세포종 1례 = Catecholamine-induced Myocarditis in Pheochromocytoma

다국어 초록 (Multilingual Abstract)

Pheochromocytomas are rare tumors that originate in chromaffin
tissue and produce distant variant effects, such as
EKG abnormality, myocarditis, cardiomyopathy, and acute
coronary syndrome, by secretion of catecholamines. Such
variant effects of pheochromocytoma tend to lead the emergency
physician to a wrong diagnosis. We describe the
case of a 29-year-old female with pheochromocytoma who
was diagnosed at the ER as having myocarditis with acute
renal failure. The diagnosis of pheochromocytoma was
made later. To avoid misdiagnosis, we should include
pheochromocytoma in the differential diagnosis. We should
also use additional imaging tests, such as bed-side abdominal
ultrasonography or abdominal CT, at the ER on relatively
young patients presenting with hypertensive crisis, acute
renal failure, and features, such as ischemic EKG changes,
which are suggestive of acute coronary syndrome or
m y o c a r d i t i s .

참고문헌 (Reference)

1 "Two cases of pheochromocytoma associated with acutemyocardial infarction" 57 : 357-363, 1999

2 "Review and analysis of pathologic mechanisms" 589-91,

3 "Reversible catecholamineinduced cardiomyopathy by subcutaneousinjections of epinephrine solution in an anesthetizedpatient" 92 : 615-619, 2000

4 "Reversibility of catecholamine induced dilated cardiomyopathyin a child with a pheochromocytoma" 793-7, nengljmed1987;316

5 "Principles of internal medicine" McGraw-Hill 2105-2106, 2001

6 "Pheochromocytoma and catecholamine induced cardiomyopathypresenting as heart failure" 234-7,

7 "Inotropic responsivenessof the heart in catecholamine cardiomyopathy" 17-21,

8 "Downing SE Ventricular function in norepinephrineinduced cardiomyopathic rabbits" h191-6

9 "Cecil textbook of medicine" W.B. Saunders 1259-, 2000

10 "Cardiovascularcomplications of pheochromocytoma crisis" 701-5, amjcardiol1975;35

11 "Cardiovascular manifestations of pheochromocytoma" 18 : 622-625, 2000

12 "Biochemical diagnosisof pheochromocytoma by simultaneous measurementof urinary excretion of epinephrine and norepinephrine"

13 "Anunusual case of myocarditis" 65 : 305-310, 1998

14 "A serial echocardiographicobservation of acute heart injury associated withpheochromocytoma crisis" 66 : 199-202, 1998