dc.contributor |
Landspítali |
dc.contributor.author |
Jonsson, Krister Blaer |
dc.contributor.author |
Guðmundsson, Eiríkur Orri |
dc.contributor.author |
Sigurðardóttir, Margrét |
dc.contributor.author |
Jónsson, Jón Jóhannes |
dc.contributor.author |
Sigurjónsdóttir, Helga Ágústa |
dc.date.accessioned |
2023-03-10T01:03:32Z |
dc.date.available |
2023-03-10T01:03:32Z |
dc.date.issued |
2023-03-01 |
dc.identifier.citation |
Jonsson , K B , Guðmundsson , E O , Sigurðardóttir , M , Jónsson , J J & Sigurjónsdóttir , H Á 2023 , ' Lyfjaþolinn háþrýstingur – hjáhnoðuæxli : Sjúkratilfelli. ' , Læknablaðið , bind. 109 , nr. 3 , bls. 141-145 . https://doi.org/10.17992/lbl.2023.03.735 |
dc.identifier.issn |
1670-4959 |
dc.identifier.other |
101679664 |
dc.identifier.other |
dc3e0b79-b413-488f-a3cd-5403ef16f3c4 |
dc.identifier.other |
36856470 |
dc.identifier.other |
85149427688 |
dc.identifier.other |
unpaywall: 10.17992/lbl.2023.03.735 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/4058 |
dc.description |
Publisher Copyright: © 2023 Laeknafelag Islands. All rights reserved. |
dc.description.abstract |
Ágrip Fjallað er um karlmann með þriggja áratuga sögu um lyfjaþolinn háþrýsting, svitaköst, hjartsláttaróþægindi og járnbragð í munni. Þrátt fyrir endurteknar komur á bráðamóttöku og uppvinnslu á göngudeild var undirliggjandi orsök ekki greind. Síðustu þrjú árin fyrir komu hafði háþrýstingurinn versnað og viðkomandi þróað með sér sykursýki af tegund 2. Frekari uppvinnsla leiddi í ljós 3 cm hjáhnoðuæxli utan nýrans. Eftir brottnám á æxlinu er hann án lyfjameðferðar og einkennalaus. Krómfíkla- (pheochromocytoma) og hjáhnoðuæxli (paraganglioma) eru sjaldgæf orsök háþrýstings, talin vera skýring 0,1-0,6% allra tilfella, en mikilvæg að greina vegna hættulegra fylgikvilla. We report a case of a man with a 30-year history of treatment-resistant hypertension, hydropoiesis, tachycardic spells and dysgeusia. Despite repeated visits to the emergency department and work-up in an out-patient clinic, the diagnosis was unknown. Three years prior to remittance to an endocrinologist, the hypertension worsened, and he developed diabetes type-II. Further work-up revealed a 3 cm extra-adrenal pheochromocytoma, a paraganglioma. After surgical removal of the tumor, he is without medication and symptom free. Pheochromocytoma and paraganglioma are rare causes of hypertension, estimated to explain 0.1-0.6% of all cases, but nonetheless an important diagnosis to make, due to serious side effects. |
dc.format.extent |
5 |
dc.format.extent |
1497369 |
dc.format.extent |
141-145 |
dc.language.iso |
is |
dc.relation.ispartofseries |
Læknablaðið; 109(3) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Lífefna- og sameindalíffræði |
dc.subject |
Innkirtlalæknisfræði |
dc.subject |
Meinafræði |
dc.subject |
Þvagfæraskurðlæknisfræði |
dc.subject |
Male |
dc.subject |
Humans |
dc.subject |
Pheochromocytoma |
dc.subject |
Paraganglioma |
dc.subject |
Ambulatory Care Facilities |
dc.subject |
Hypertension |
dc.subject |
Adrenal Gland Neoplasms |
dc.subject |
metanephrine |
dc.subject |
pheochromocytoma |
dc.subject |
neuroendocrine tumor |
dc.subject |
resistant hypertension |
dc.subject |
paraganglioma |
dc.subject |
metanephrine |
dc.subject |
neuroendocrine tumor |
dc.subject |
paraganglioma |
dc.subject |
pheochromocytoma |
dc.subject |
resistant hypertension |
dc.subject |
Almenn læknisfræði |
dc.title |
Lyfjaþolinn háþrýstingur – hjáhnoðuæxli : Sjúkratilfelli. |
dc.title.alternative |
Resistant hypertension - pheochromocytoma |
dc.type |
/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article |
dc.description.version |
Peer reviewed |
dc.identifier.doi |
10.17992/lbl.2023.03.735 |
dc.relation.url |
http://www.scopus.com/inward/record.url?scp=85149427688&partnerID=8YFLogxK |
dc.contributor.department |
Læknadeild |