Vivian Zhang BA^1,, Emma Barry BA¹, Lyn Dea DO²

Diagnosis of pheochromocytoma, a rare, largely-incidentally found tumor of the adrenal glands, is typically challenging due to its frequently variable, nonspecific, and atypical presentations as it can mimic many other diagnoses, notably menopause. This study details a case of a 47-year-old female who primarily presented with flushing and insidious weight loss; further studies also revealed a new hyperglycemia. Initially thought to be menopausal symptoms, she then returned months later with chest pain and dyspnea and underwent cardiac work-up for a diagnosis of myopericarditis and eventually cardiomyopathy. After being hospitalized for pneumonia, her pheochromocytoma was finally incidentally discovered on abdominal CT. Pheochromocytomas should be considered in the differential diagnoses of flushing in menopause-age women and can occur with normotensive, atypical presentations, particularly patients with more concerning features such as weight loss. Furthermore, pheochromocytomas can cause long-lasting cardiac damage, and should be acknowledged as a possible cause of cardiomyopathy.

case report, pheochromocytoma, menopause, myocarditis, catecholamine-induced cardiomyopathy