Abstract:
Rationale: Hypertensive crisis is a serious cardiovascular problem. Refractory and resistant severe hypertension is sometimes needed for an urgent clinical diagnostic assessment for the cause. Hypertensive crisis due to pheochromocytoma is a rare problem but has an association with both café au lait spots, axillary freckling, and neurofibromatosis. The correlation between hypertensive crisis, café au lait spots, neurofibromatosis, and the presence of pheochromocytoma is highly significant. Cafe au lait spots by themselves are not harmful lesions. The presence of café au lait spots may be helping in the arrival to cause of the hypertensive crisis.
Patient concerns: A middle-aged male patient presented to the emergency room with hypertensive crisis due to suspected pheochromocytoma.
Diagnosis: Hypertensive crisis due to suspected pheochromocytoma.
Interventions: Electrocardiography and intravenous nitroglycerin infusion
Outcomes: Dramatic clinical improvement and blood pressure control within 15 minutes of the labetalol oral tablet had happened.
Lessons: Café au lait Spot is a marker for pheochromocytoma in hypertensive crisis but with a wide-differential diagnosis. Labetalol may be chosen in hypertensive crisis due to pheochromocytoma.
Keywords: Café Au Lait; A marker for Pheochromocytoma; Hypertensive crisis; Neurofibromatosis
Biography:
Dr. Yasser Mohammed Hassanain Elsayed; A scientist, critical care physician, cardiologist, and independent researcher at Egyptian Ministry of Health. Publicized articles; (153). Innovations and patents (22); (3) "Yasser’s sign", (6) "Yasser’s phenomenon", (1) "Yasser’s modification", (1) "Yasser’s maneuver", (1) “Yasser’s method”, (1) “Yasser’s test”, (4) “Yasser’s syndrome”, (1) "Yasser’s fibrillation", (1) "Yasser’s Procedure", (1) Yasser’s ECG palpitations wave, (1) Factitious Yasser's Infarction, and (1) "Yasser’s Criterion". International Speaker with presentation (Conferences); (34). Accepted abstracts in Conferences with no presentation (28). Reviewer; (309) articles for (102) Journals. Honorable editor; (275) Journals. International Conferences OCM; (13). Instructor; (12) official and (118) non-official. COVID-19 publicized articles; (50). Prizes nomination; Breakthrough Prize, Einstein Prize, Abdul Hameed Showman Award for Arab Researchers, and ESICM Awards. Excellence certificates (more than 176). The most famous articles are; 1. Wavy triple an electrocardiographic sign (Yasser’s sign). 2. Wavy double an Electrocardiographic sign (Yasser’s sign). 3. Graded phenomenon (Yasser’s phenomenon). 4. Connected aircraft squadron electrocardiographic sign (Yasser’s sign). 5. Electrocardiographic Passing phenomenon (Flying phenomenon or Yasser’s phenomenon). 6. Movable weaning off an electrocardiographic phenomenon (Yasser’s phenomenon of hypocalcemia). 7. Yasser’s COVID-19 discrepancy phenomenon. 8. Yasser’s maneuver in the psychogenic coma. 9. Yasser’s modification or oxygen test. 10. Three and one method (Yasser’s method). 11. Yasser's stressor test (Fear and calm test). 12. Triphasic Yasser's stressor syndrome (Fear, calm, and fear syndrome). 13. Right to left angina Yasser’s syndrome (Swinging Yasser’s central heart syndrome) or Dancing Yasser’s heart syndrome. 14. Sinusoidal atrial fibrillation (Yasser’s fibrillation). 15. Yasser’s triple discoloration sign. 16. Yasser’s procedure. 17. Yasser's Wenckebach reversal phenomenon. 18. Yasser’s cup of coffee stress syndrome (Single cup of coffee stress syndrome). 19. Yasser’s ECG palpitations wave. 20. Bilobed apical floating heart Yasser’s syndrome. 21. Factitious Yasser's Infarction. 22. Yasser’s Criterion of Inferior ST-Segment Discrepancy Deviations in AF.
