Serum chromogranin A, a marker of neuroendocrine
tumours, is worth measuring. Its secretion is not
episodic unlike catecholamines. Are there any other
associated symptoms with the commencement of the
hypertensive episode?
Mohammad
--- "Ballieux, B.E.P.B. (CKCL)"
<[log in to unmask]> wrote: > You could measure
over night urine metanephrines
> (more sensitive for
> catecholamine producing tumors).
>
> Bart Ballieux
>
> Dr. B.E.P.B. Ballieux
> Clinical Biochemist
> Leiden University Medical Centre
> P.O.box 9600
> 2300 RC Leiden
> The Netherlands
> Tel:+3171-5262165/2278
> Fax: +3171-5266753
> email: [log in to unmask]
>
>
> -----Original Message-----
> From: Mohmed Ashmaig [mailto:[log in to unmask]]
> Sent: woensdag 19 februari 2003 16:04
> To: [log in to unmask]
> Subject: Hypertension at nights only
>
>
> Dear all,
>
> It might be an interesting case.
>
> We have a military man 46 years old, physically &
> medically very well and he look very happy and not
> under any stress. His chemistry and hematology tests
> are all normal. The cardiac stress test normal. His
> blood pressure during the day 110/70 mHg, but start
> rising from 08:00 PM when the time around 11:00 PM
> start getting headache with blood pressure of
> 180/100
> mHg, the following day get back to normal, he is on
> Zestrine 10 mg/day to control his blood pressure.
> 24 hours urine Dopamine, Norepinephrine,
> Epinephrine,
> all normal.
>
> Any suggestion of what we can look into or
> investigate
> will be really appreciated.
>
> Many thanks in advance for all
>
> Mohmed Ashmaig
> Riyadh Military Hospital
>
>
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=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
__________________________________________________
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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
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