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Pheochromocytoma

To the Editor: I read with avid interest the IM Board Review by Pagán et al on a man with pheochromocytoma.1 The article stated that the classic triad is headache, hypertension, and hyperglycemia. I found this to be incorrect. And Harrison’s Principles of Internal Medicine2 states that the classic triad is palpitations, headaches, and profuse sweating. I hope you will clarify this in the interest of the readers as it is a board review article.

References
  1. Pagán RJ, Kurklinsky AK, Chirila R. A 61-year-old man with fluctuating hypertension. Cleve Clin J Med 2014; 81:677–682.
  2. Neumann HH. Chapter 343. Pheochromocytoma. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J, editors. Harrison’s Principles of Internal Medicine, 18th edition. New York, NY: McGraw-Hill, 2012. http://0-accessmedicine.mhmedical.com.library.ccf.org/content.aspx?bookid=331&Sectionid=40727148. Accessed March 12, 2015.
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Madhu Belur, MD
Wellspan Hospitalists, York Hospital, York, PA

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To the Editor: I read with avid interest the IM Board Review by Pagán et al on a man with pheochromocytoma.1 The article stated that the classic triad is headache, hypertension, and hyperglycemia. I found this to be incorrect. And Harrison’s Principles of Internal Medicine2 states that the classic triad is palpitations, headaches, and profuse sweating. I hope you will clarify this in the interest of the readers as it is a board review article.

To the Editor: I read with avid interest the IM Board Review by Pagán et al on a man with pheochromocytoma.1 The article stated that the classic triad is headache, hypertension, and hyperglycemia. I found this to be incorrect. And Harrison’s Principles of Internal Medicine2 states that the classic triad is palpitations, headaches, and profuse sweating. I hope you will clarify this in the interest of the readers as it is a board review article.

References
  1. Pagán RJ, Kurklinsky AK, Chirila R. A 61-year-old man with fluctuating hypertension. Cleve Clin J Med 2014; 81:677–682.
  2. Neumann HH. Chapter 343. Pheochromocytoma. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J, editors. Harrison’s Principles of Internal Medicine, 18th edition. New York, NY: McGraw-Hill, 2012. http://0-accessmedicine.mhmedical.com.library.ccf.org/content.aspx?bookid=331&Sectionid=40727148. Accessed March 12, 2015.
References
  1. Pagán RJ, Kurklinsky AK, Chirila R. A 61-year-old man with fluctuating hypertension. Cleve Clin J Med 2014; 81:677–682.
  2. Neumann HH. Chapter 343. Pheochromocytoma. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J, editors. Harrison’s Principles of Internal Medicine, 18th edition. New York, NY: McGraw-Hill, 2012. http://0-accessmedicine.mhmedical.com.library.ccf.org/content.aspx?bookid=331&Sectionid=40727148. Accessed March 12, 2015.
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Cleveland Clinic Journal of Medicine - 82(4)
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