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Mercury intoxication presenting with hypertension and tachycardia
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  1. Willi Wöβmann,
  2. Martina Kohl,
  3. Gunnar Grüning,
  4. Peter Bucsky
  1. Department of Paediatrics, Medical University of Luebeck, 23538 Luebeck, Germany
  1. Dr Willi Wöβmann, Department of Paediatrics, Justus-Liebig-University, Feulgenstrasse 12, 35392 Giessen, Germany.

Abstract

An 11 year old girl presented with hypertension and tachycardia. Excess urinary catecholamine excretion suggested phaeochromocytoma but imaging studies failed to demonstrate a tumour. Other symptoms included insomnia and weight loss, and she was found to have a raised concentration of mercury in blood and urine. Mercury intoxication should be considered in the differential diagnosis of hypertension with tachycardia even in patients presenting without the skin lesions typical of mercury intoxication and without a history of exposure.

  • hypertension
  • tachycardia
  • mercury poisoning
  • phaeochromocytoma
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