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Intermittent Episodes of Sweating, Palpitations, and Hypertension

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Surgery

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Abstract

A 34-year-old woman presents with a chief complaint of what she calls “rushes,” intermittent episodes of sweating, headaches, and palpitations lasting for a few minutes and occurring sporadically every few days. These episodes can occur at any time of day and have sometimes awakened her from sleep. She notes that exercise may provoke her symptoms. She has no significant past medical history. Her physical exam is remarkable only for newly discovered hypertension, with a blood pressure of 165/100. Her biochemical workup reveals an elevated 24-h urine metanephrine (1,163 mcg/day; normal <400). A dedicated adrenal-protocol CT scan shows a 4-cm mass in the right adrenal gland with central cystic change.

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Author information

Authors and Affiliations

  1. Surgery and Medicine, Section of Endocrine Surgery, UCLA David Geffen School of Medicine, 10833 Le Conte Ave., Los Angeles, CA, 90095, USA

    Masha J. Livhits MD

  2. Surgery and Medicine, Section of Endocrine Surgery, UCLA David Geffen School of Medicine, 10833 Le Conte Ave, 72-228 CHS, Los Angeles, CA, 90095, USA

    Michael W. Yeh MD

  3. Department of Surgery, University of California, Irvine, 333 City Blvd West Suite 1600, Route. 81, Orange, CA, 92868, USA

    Areg Grigorian MD

Authors
  1. Masha J. Livhits MD
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  2. Michael W. Yeh MD
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  3. Areg Grigorian MD
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Corresponding author

Correspondence to Masha J. Livhits MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Christian de Virgilio

  2. General Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Paul N. Frank

  3. Department of Surgery, University of California, Irvine, Orange, California, USA

    Areg Grigorian

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© 2015 Springer Science+Business Media New York

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Livhits, M.J., Yeh, M.W., Grigorian, A. (2015). Intermittent Episodes of Sweating, Palpitations, and Hypertension. In: de Virgilio, C., Frank, P., Grigorian, A. (eds) Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1726-6_10

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  • DOI: https://doi.org/10.1007/978-1-4939-1726-6_10

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1725-9

  • Online ISBN: 978-1-4939-1726-6

  • eBook Packages: MedicineMedicine (R0)

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