Acute mercury poisoning (acrodynia) mimicking pheochromocytoma in an adolescent

J Pediatr. 1993 Feb;122(2):252-3. doi: 10.1016/s0022-3476(06)80125-3.

Abstract

A 14-year-old boy was seen because of irritability, insomnia, lethargy, and profuse sweating, together with hypertension (blood pressure: 160/120 mm Hg), tachycardia, and a diffuse erythematous rash with desquamation of the palms and soles. Initial biochemical investigation suggested a diagnosis of pheochromocytoma, but subsequently a history of exposure to mercury vapor was obtained. This case emphasizes the clinical and biochemical similarities between mercury poisoning (acrodynia) and pheochromocytoma.

Publication types

  • Case Reports

MeSH terms

  • Acrodynia / blood
  • Acrodynia / diagnosis*
  • Acrodynia / urine
  • Acute Disease
  • Adolescent
  • Adrenal Gland Neoplasms / diagnosis*
  • Diagnosis, Differential
  • Humans
  • Male
  • Mercury / blood
  • Mercury / urine
  • Mercury Poisoning / blood
  • Mercury Poisoning / diagnosis*
  • Mercury Poisoning / urine
  • Pheochromocytoma / diagnosis*

Substances

  • Mercury