Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pheochromocytoma that Initially Presented as Diffuse Alveolar Hemorrhage

미만성 폐포출혈로 발현한 갈색세포종 1예

  • Ryu, Dae Sick (Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Joung, Hyoung Chu (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Mi Hye (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jung, Bock Hyun (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 류대식 (울산대학교 의과대학 강릉아산병원 영상의학교실) ;
  • 정형주 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 김미혜 (울산대학교 의과대학 강릉아산병원 내과학교실) ;
  • 정복현 (울산대학교 의과대학 강릉아산병원 내과학교실)
  • Received : 2007.12.11
  • Accepted : 2008.01.18
  • Published : 2008.01.30
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Abstract

A pheochromocytoma is a neuroectodermal tumor that originates from the chromaffin cells of the sympathetic system. Typical symptoms or signs are periodic attacks of paroxysmal hypertension, spell, palpitation, headache and sweating. However, the clinical presentation is quite variable. Therefore, an atypical clinical presentation sometimes makes a diagnosis difficult. Hemoptysis as a presenting symptom is very rare in pheochromocytoma. We recently experienced a patient with diffuse alveolar hemorrhage due to pheochromocytoma. A chest PA showed diffuse consolidation and ground glass opacities in both lungs. A chest CT showed diffuse consolidation and ground glass opacities in the central, middle and lower portion predominance of the lungs, sparing the costophrenic angles and apices of the lungs. In Korea, a case of pheochromocytoma that presented initially as massive hemoptysis due to diffuse alveolar hemorrhage has not been previously reported. We report the case with a review of the literature.

Keywords

References

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