Abstract The situation (modern professionalism) is dangerous. It produces minds in a groove. Each profession makes progress but it is progress in its own groove... the groove prevents straying across country... there is no groove of abstraction which is adequate for comprehension of human life. A. N. Whitehead Pheochromocytomas simulating acute anxiety attacks 1 and the hypermetabolic state 2 have been reported. In fact, the features of this tumor are so well known it has prompted Kvale3 to remark that definite clues can be obtained as to the presence of this tumor at the first or second office visit. Watkins2 reaffirms that our knowledge of these tumors is "sufficient to permit a diagnosis by the thoughtful physician in nearly all cases." The purpose of this paper is to present two cases where long-standing anxiety seemed to predominate and to emphasize the similarity between this syndrome and chronically discharging pheochromocytoma. References 1. Crede, R. H., and Kerr, W. J.: Pheochromocytoma: Report of a Case with Symptoms Simulating Acute Anxiety Attacks , Postgrad. Med. 11:288, 1952. 2. Watkins, D.: Pheochromocytoma: A Review of the Literature , J. Chron. Dis. 6:510, 1957.Crossref 3. Kvale, W. F.; Roth, G. M.; Manger, W. M., and Priestly, J. T.: Present-Day Diagnosis and Treatment of Pheochromocytoma: A Review of 51 Cases , J. A. M. A. 164:854, 1957.Crossref 4. Corcoran, A. C.; Dustan, H. P., and Page, I. H.: Anti-Diuresis and Other Renal Responses to Piperoxan in Pheochromocytoma , Circulation 14:221, 1956.Crossref 5. Masserman, J. H.: The Practice of Dynamic Psychiatry , Philadelphia, W. B. Saunders Company, 1955, pp. 127-129. 6. Cannon, W. B., and Rosenblueth, A.: Autonomic Neuro-Effector Systems , New York, The Macmillan Company, 1937. 7. Starr, I.; Gamble, C. J.; Margolies, A.; Donal, J. S., Jr.; Joseph, N., and Eagle, E.: Clinical Study of the Action of 10 Commonly Used Drugs on Cardiac Output, Work and Size, on Respiration, on Metabolic Rate and on Electrocardiogram , J. Clin. Invest. 16:799, 1937.Crossref 8. Goldenberg, M.; Aranow, H., Jr.; Smith, A. A., and Faber, M.: Pheochromocytoma and Essential Hypertensive Vascular Disease , Arch. Int. Med. 86:823, 1950.Crossref 9. Goodman, L. S., and Gilman, A.: The Pharmacological Basis of Therapeutics , New York, The Macmillan Company, 1955, p. 490.
A.M.A. Archives of Internal Medicine – American Medical Association
Published: Nov 1, 1958