Figure 426

Paroxysmal blood pressure pattern in pheochromocytoma. Note the extreme variability of blood pressure in this patient with pheochromocytoma during ambulatory blood pressure monitoring [9]. Whereas most levels were within the normal range, episodic increases to levels of 200/140 mm Hg were observed. Such paroxysms can be spontaneous or associated with activity of many sorts. (Adapted from Manger and Gifford [9]; with permission.)

FIGURE 4-27 (see Color Plate)

Neurofibroma associated with pheochromocytoma. Neurofibromas are sometimes found in patients with pheochromocytoma. These lesions are soft, fluctuant, and nontender and can appear anywhere on the surface of the skin. These lesions can be seen in profile in Figure 4-28.

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