Cardio quiz | cardiology case quiz

Case # 6

A 45-year-old man with no prior medical history presented with several months of right flank heaviness, slowed bowel movements, and mild asthenia. The patient reported palpitations, headaches, and sweating. BP 150/95 mmHg, and several hypopigmented, irregular macules. Ultrasound revealed a heterogeneous, vascular right adrenal mass (14 × 10 cm) encroaching
What is the answer? Pheochromocytoma Whats the learning point? NF1 features multiple café-au-lait spots, a hallmark sign. It results from mutations in the NF1 tumor suppressor gene, causing loss of neurofibromin function and dysregulated cell growth. This predisposes to tumors, including pheochromocytoma. Café-au-lait spots + hypertension (especially paroxysmal) should strongly suggest pheochromocytoma and prompt urgent evaluation. Case cite Chebbi S, Alouane HBH, Oueslati MA, Kchir NE, Rhouma SB. Bilateral pheochromocytomas with locally advanced right adrenal tumor extending into the inferior vena cava in a suspected Von Hippel-Lindau syndrome: A case report. Urol Case Rep. 2026 Jan 10;65:103343. doi: 10.1016/j.eucr.2026.103343. PMID: 41584788; PMCID: PMC12830077. How to add more learning point? Compose a tweet in x.com like this: @cardioquiz #Pheochromocytoma YOUR_LEARNING_POINT_MESSAGE PUBMED_URL_DESIRABLE Compose a tweet

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