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Acute mercury poisoning (acrodynia) mimickingpheochromocytoma in an adolescent

1993; Elsevier BV; Volume: 122; Issue: 2 Linguagem: Inglês

10.1016/s0022-3476(06)80125-3

1097-6833

Carina Henningsson, Stephanie Hoffmann, Lyle McGonigle, J. S. D. Winter,

Biotin and Related Studies

A 14-year-old boy was seen because of irritability, insomnia, lethargy, and profusesweating, together with hypertension (blood pressure: 160/120 mm Hg), tachycardia, and a diffuse erythematous rash with desquamation of the palms and soles. Initial biochemical investigation suggested a diagnosis of pheochromocytoma, but subsequently a history of exposure to mercury vapor was obtained. This case emphasizes the clinical and blochemical similarities between mercury poisoning (acrodynia) and pheochromocytoma. A 14-year-old boy was seen because of irritability, insomnia, lethargy, and profusesweating, together with hypertension (blood pressure: 160/120 mm Hg), tachycardia, and a diffuse erythematous rash with desquamation of the palms and soles. Initial biochemical investigation suggested a diagnosis of pheochromocytoma, but subsequently a history of exposure to mercury vapor was obtained. This case emphasizes the clinical and blochemical similarities between mercury poisoning (acrodynia) and pheochromocytoma.