Annals of Clinical Biochemistry > Volume 45, Number 2 > Pp. 215-217

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Case Report

An apparent phaeochromocytoma and abnormal thyroid function tests

T F J King ¹, P O Shea ², E P O Sullivan ¹, R Srinivasan ², A Griffin ², R Fitzgerald ², W Tormey ² and D Smith ¹ 

¹ Department of Endocrinology; ² Department of Chemical Pathology, Beaumont Hospital, Dublin 9, Ireland

Corresponding author: Dr Diarmuid Smith. Email: diarmuidsmith{at}beaumont.ie

A 41-year-old lady presented with classical symptoms of a phaeochromocytoma and markedly elevated urinary adrenaline concentration. Urinary fractionated metanephrine and normetanephrine concentrations were within the normal reference range. Computed tomography of the abdomen/pelvis and I¹²³ meta-iodobenzylguanidine scans were negative. Factitious adrenaline use was established as the diagnosis.

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