Abstract
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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
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