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Case Reports in Cardiology
Volume 2016 (2016), Article ID 6580215, 4 pages
http://dx.doi.org/10.1155/2016/6580215
Case Report

Pseudopheochromocytoma Associated with Domestic Assault

1Department of General Internal Medicine, Centres Hospitaliers Jolimont, Nivelles, Belgium
2Intensive Care Unit, Centres Hospitaliers Jolimont, Nivelles, Belgium

Received 6 July 2016; Accepted 28 August 2016

Academic Editor: Nurten Sayar

Copyright © 2016 H. M. Le et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pseudopheochromocytoma has a clinical presentation that is similar to pheochromocytoma. It manifests itself with paroxysmal hypertension crises, associated with various symptoms such as headaches, chest pain, nausea, palpitations, and dizziness. Patients are usually asymptomatic in between the crises. Unlike pheochromocytoma, there is no catecholamines overproduction in this pathology: hypertensive peaks are caused by a hyperactivation of the sympathetic nervous system, which is often triggered by a psychological trauma in the past. Treatment of pseudopheochromocytoma can be challenging due to normal blood pressure values in between the hypertensive peaks; it includes alpha- and beta-blockers for moderate crises and prevention and must be combined with psychopharmacologic agents such as anxiolytics or antidepressant drugs. Psychotherapy and dietetic treatment are also crucial in pseudopheochromocytoma management.