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Cardiogenic shock triggered by phaeochromocytoma crisis after an oral glucose tolerance test: a case report.


ABSTRACT:

Background

Phaeochromocytomas are rare catecholamine-producing tumours which typically present with comparatively benign symptoms such as headache, palpitations, sweating, hypertension, and insulin resistance. In rare cases, severe cardiac manifestations have been reported. We describe a patient who developed severe hypoglycaemia after an oral glucose tolerance test (OGTT), potentially triggering a phaeochromocytoma crisis and cardiogenic shock. To the best of our knowledge, only four other cases of hypoglycaemia after OGTT have been reported in patients with phaeochromocytoma, of which none developed a phaeochromocytoma crisis.

Case summary

A 53-year-old woman with hypertension, dyslipidaemia, and prediabetes presented to the Emergency Department with hypoxia, hyperglycaemi

SUBMITTER: Shahim B 

PROVIDER: S-EPMC6939798 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature