AN INTERESTING CASE OF HYPERTENSION

Hypertension is a common disease which we encounter day by day. Most of the time thecause is not known and are labeled as essential or primary hypertension. A small percentage ofpatients (2- 10) have a secondary cause. Here is a 42 year old male presenting with complaints ofchest pain for 3 days with history of giddiness, palpitation, excessive sweating, headache and blurringof vision. He also had fear during these symptoms. On examination he had tachycardia andhypertension. His systemic examination was normal. Complete hemogram, RFT, LFT were with innormal limits.USG abdomen showed right adrenal mass, CECT abdomen also showed right adrenalmass.24 hours urine VMA were raised, MIBG scan findings are compatible with pheochromocytoma.Hypertension and tachycardia with adrenal mass helped us to come to a conclusion ofpheochromocytoma.