08 September 2024
: Case report 
Complex Presentation of Pheochromocytoma: Hypertensive Encephalopathy and Takotsubo-Like Cardiomyopathy in a Young Female
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care
Nidhi Garg1ABDE, Lekhya Raavi2ABDE*, Surabhi Maheshwari
3BE, Nafiye Busra Celik4BE, Ashu Rastogi 5ABDEF, Pankaj Garg 4ABDEFG
DOI: 10.12659/AJCR.944024
Am J Case Rep 2024; 25:e944024
Table 2. Comprehensive list of laboratory investigations done in the patient at our hospital.
| Investigation | Value |
|---|---|
| Serum sodium | 140.3 mmol/L |
| Serum potassium | 4.25 mmol/L |
| Serum cortisol (PM) | 163.9 nmol/L (normal 171–536 nmol/L) |
| Serum cortisol (AM) | 364.3 nmol/L |
| Adrenocorticotropic hormone | 23.41 pg/mL |
| Dehydroepiandrosterone sulphate | 74.76 µg/dL |
| Luteinizing hormone | 4.65 mIU/mL |
| Follicle-stimulating hormone | 4.68 mIU/mL |
| Prolactin | 12.61 ng/mL |
| Parathyroid hormone | 93.10 pg/mL (reference range 15–65 pg/mL) |
| Calcifediol-25(OH)D3 | 6.67 ng/mL (reference range 11.1–42.9 ng/mL) |
| 24-h urine metanephrine | 195.92 µg/24 h (reference range <350 µg/24 h) |
| 24-h urine nor-metanephrines | 2638.72 µg/24 h (reference range <600 µg/24 h) |
| 24-h urine protein | 216 mg/TV (reference range 0–150 mg/TV) |
| TV – total volume of urine. | |