Journals / Erciyes Tıp Dergisi / 2005 / Cilt: 27 - Sayı: 3

Poliüri ve polidipsi ile gelen feokromasitomalı çocuk: Olgu sunumu

Pheochromocytoma presenting with polydipsia and polyuria in a child

Pages
128–131
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article we emphasized that polyuria-polydipsia may be the first symptoms of pheochromocytoma in children, the importance of blood pressure measurement in initial physical examination and the familial pattern of pheochromocytoma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pheochromocytomas are rare tumors in childhood and can mimic many unrelated diseases due to their various presenting symptoms.
📊
Key Findings & Data:When the family members were screened for multiple endocrine neoplasia (MEN) syndromes, a bilateral pheochromocytoma was diagnosed in his sister and she was also operated on immediately.
💡
Conclusion & Impact:In this article we emphasized that polyuria-polydipsia may be the first symptoms of pheochromocytoma in children, the importance of blood pressure measurement in initial physical examination and the familial pattern of pheochromocytoma.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pheochromocytomas are rare tumors in childhood and can mimic many unrelated diseases due to their various presenting symptoms. While hypertension is the most prevalent finding of pheochromocytomas, polyuria and polydipsia are rare and interesting symptoms. In this study we presented a child with unilateral pheochromocytoma, whose first symptoms were polyuria-polydipsia, and hypertension, which were important clues for pheochromocytoma. With the help of clinical and laboratory findings, patient was diagnosed as pheochromocytoma and referred to surgery; with the removal of the tumor the symptoms disappeared. When the family members were screened for multiple endocrine neoplasia (MEN) syndromes, a bilateral pheochromocytoma was diagnosed in his sister and she was also operated on immediately. In this article we emphasized that polyuria-polydipsia may be the first symptoms of pheochromocytoma in children, the importance of blood pressure measurement in initial physical examination and the familial pattern of pheochromocytoma.

Özet

Feokromositoma çocukluk çağında nadir görülen tümörlerdendir ve farklı semptomları ile birçok hastalığı taklit edebilir. Hipertansiyon feokromositomada en sık bulgu olmasına rağmen, poliüri-polidipsi nadir ve ilginç semptomlardır. Bu yazıda tek taraflı feokromositomalı, ilk semptomu poliüri-polidipsi olan ve fizik muayenede hipertansiyon tespit edilen vaka takdim edilmiştir. Klinik ve laboratuar bulguları ile tanı konulan olguda cerrahi rezeksiyon sonrası bulgu ve belirtiler kayboldu. Multipl endokrin neoplazi (MEN) açısından aile bireyleri tarandı ve kız kardeşine de feokromositoma tanısı konularak opere edildi. Bu makale ile poliüri ve polidipsinin feokromositomanın ilk semptomları olabileceğini, ilk muayenede tansiyon ölçülmesinin önemini ve feokromositomanın ailesel olabileceğini vurgulamak istedik.

🔖

Cite This Article

NARİN, N., AKCAKUŞ, M., KÜÇÜKAYDIN, M., BAYKAN, A., PATIROĞLU, T., KENDİRCİ, M. (2022). Poliüri ve polidipsi ile gelen feokromasitomalı çocuk: Olgu sunumu. Erciyes Tıp Dergisi, Cilt: 27 - Sayı: 3, 128–131. https://ajindex.com/articles/502813

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Kaufman BH, Telander RL, van Heerden JA, Zimmerman D, Sheps SG, Dawson B. Pheochromocytoma in the pediatric age group: Current status. J Pediatr Surg 1983; 18: 879-884
  2. Patocs A, Karadi E, Toth M, et al. Clinical and biochemical features of sporadic and hereditary phaeochromocytomas: an analysis of 41 cases investigated in a single endocrine centre. Eur J Cancer Prev 2004;13:403-409
  3. Tevetoğlu F, Lee CH. Adrenal pheochromocytoma simulating diabetes insipidus. Report of a case and review of other pediatric cases. AMA J Dis Child 1956; 91:365-379
  4. Kendirci M. Çocuklarda Endokrin Hipertansiyon. In: Günöz H, Öcal G, Yordam N, Kurtoğlu S, Pediatrik Endokrinoloji (1st. ed), Pediatrik Endokrinoloji ve Oksoloji Derneği Yayınları, Ankara, 2003, 699-711
  5. Çiftçi AO, Tanyel FC, Senocak ME, Büyükpamukçu N. Pheochromocytoma in children. J Pediatr Surg. 2001; 36: 447-452
  6. Isles CG, Johnson JK. Phaeochromocytoma and diabetes mellitus: further evidence that alpha 2 receptors inhibit insulin release in man. Clin Endocrinol 1983; 18: 37-41
  7. Qupty G, Ishay A, Peretz H, Dharan M, Kaufman N, Luboshitzky R. Pheochromocytoma due to unilateral adrenal medullary hyperplasia. Clin Endocrinol. 1997; 47: 613-617
  8. Friedhelm, R. et al. MEN Type II. Endocrinol Metab Clin N Am 1994; 23: 137-156
  9. Perel Y, Schlumberger M, Marguerite G et al. Pheochromocytoma and paragangliomas in children: a report of the French Society of Pediatric Oncology. Pediatr Hematol Oncol 1997; 14: 413-422
  10. Ein SH, Pullerits J, Creighton R, Balfe JW. Pediatric pheochromocytoma: A 36 year review. Pediatr Surg Int 1997; 12: 595-598
  11. Vierhapper H. Adrenocortical tumors: clinical symptoms and biochemical diagnosis. Eur J Radiol. 2002; 41:88-94. 12.Bauman A. Unilateral adrenal cathecolamine excess. Pheochromocytoma or possible sporadic medullary hyperplasia. Arch Intern Med 1982; 142: 377-378
  12. Dorairajan N, Pardhasaradhi K, Sivakumar S, Kannan MS, Velmarugam S. Surgical treatment of endocrine hypertension: Experience in India. J Indian Med Assoc 1999; 97: 233-236
  13. Sharma BK, Singh G, Sagar S. Malignant hypertension in north west India: A hospital based study. Jpn Heart J 1994; 35: 601-609
  14. Baba T, Machida K, Ozaki I et al. A malignant pheochromocytoma with ileus, polyuria and hypercalcemia: a case of recurrence 17 years after the initial operation. Endocrinol Jpn 1985; 32: 337-345
  15. Nestler JE, McClanahan MA. Diabetes and adrenal disease. Baillieres Clin Endocrinol Metab