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The following case scenario exemplifies the intriguing manifestation of pheochromocytoma, making it a difficult puzzle to solve. A young farmer, presumed to have adrenal crisis based on hypotensive shock, hyperkalemia, and AKI, was started on steroid replacement therapy. The diagnosis was questioned as he was found to have repeated panic spell, hypertensive retinopathy, and fluctuating BP. Subsequently, his investigations revealed the adequacy of HPA axis and bilateral adrenal tumor that proved to be pheochromocytoma on histopathologic examination. His age and mode of presentation pointed toward a genetic syndrome, possibly VHL, and he was investigated accordingly.

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A 25-Year-Old Male with Suspected Adrenal Crisis and Hyperpigmentation

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  • 发表日期：

    2025年

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  • Sharmin Jahan

摘要

The following case scenario exemplifies the intriguing manifestation of pheochromocytoma, making it a difficult puzzle to solve. A young farmer, presumed to have adrenal crisis based on hypotensive shock, hyperkalemia, and AKI, was started on steroid replacement therapy. The diagnosis was questioned as he was found to have repeated panic spell, hypertensive retinopathy, and fluctuating BP. Subsequently, his investigations revealed the adequacy of HPA axis and bilateral adrenal tumor that proved to be pheochromocytoma on histopathologic examination. His age and mode of presentation pointed toward a genetic syndrome, possibly VHL, and he was investigated accordingly.