An apparent phaeochromocytoma and abnormal thyroid function tests

Ann Clin Biochem 2008;45:215-217
© 2008 Association for Clinical Biochemistry

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Case Report

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}

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 scanswere negative. Factitious adrenaline use was established asthe diagnosis.

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