Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
The sympathetic neural hyperalgesia/edema syndrome, a common cause of female pelvic pain, manifesting as a pseudopheochromocytoma with marked clinical improvement with sympathomimetic amines
J.H. Check 1,*
, R. Cohen 2, B. Katsoff 3
, R. Cohen 2, B. Katsoff 3Affiliations
Article Info
1 The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology Division of Reproductive Endocrinology & Infertility, Camden, NJ
2 Philadelphia College of Osteopathic Medicine, Department of Obstetrics and Gynecology, Philadelphia, PA
3 Temple University School of Medicine, Department of Medicine, Philadelphia PA (USA)
Abstract
Purpose: To show that a common but not well-known disorder of the sympathetic nervous system can present with symptoms suggesting a pheochromocytoma. Materials and Methods: The standard treatment of this disorder (which is characterized by an abnormal water load test), i.e., sympathomimetic amine therapy, was given to a woman with paroxysmal tachycardia and hypertension. Results: Over a period of six months, the treatment eradicated the paroxysmal symptoms to which all other therapies had failed. Conclusions: This condition recently named as sympathetic neural hyperalgesia edema syndrome can present with symptoms of a pheochromocytoma and will respond to therapy with low dosages of dextroamphetamine sulfate.
Keywords
- Pheochromocytoma
- Sympathomimetic amines
- Hypertension
- Paroxysmal tachycardia