Acute mercury poisoning (acrodynia) mimicking pheochromocytoma in an adolescent.

Henningsson, C; Hoffmann, S; McGonigle, L; Winter, J S · J Pediatr · 1993

case_report · Level V

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Abstract

A 14-year-old boy was seen because of irritability, insomnia, lethargy, and profuse sweating, 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 biochemical similarities between mercury poisoning (acrodynia) and pheochromocytoma.

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