{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:50:14Z","timestamp":1747198214402,"version":"3.40.5"},"reference-count":10,"publisher":"Walter de Gruyter GmbH","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2019-0216_s_999_w2aab3b7c14b1b6b1aab1c18b1Aa\">\n                  <jats:title id=\"d2761551e50727_w2aab3b7c14b1b6b1aab1c18b1aAa\">Background<\/jats:title>\n                  <jats:p>Pheochromocytomas (PCCs) and paragangliomas (PGLs) are known to physicians as the \u201cgreat mimickers\u201d because of their variable presentation, especially in the pediatric population. Rarely, they co-secrete other hormones.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2019-0216_s_998_w2aab3b7c14b1b6b1aab1c18b2Aa\">\n                  <jats:title id=\"d2761551e50735_w2aab3b7c14b1b6b1aab1c18b2aAa\">Case presentation<\/jats:title>\n                  <jats:p>An 11-year-old boy presented with severe hypertension (HTN) with cardiac target organ damage. Signs of genital and cutaneous androgenization were observed, but the gonadal volume was prepubertal (2 mL). Urine normetanephrine and norepinephrine levels were elevated. Increased beta-human chorionic gonadotropin (\u03b2-HCG) and pubertal testosterone values with suppressed values of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) suggested an androgenization secondary to HCG hyperproduction. Imaging revealed a right adrenal mass, suggestive for PCC. Histopathology confirmed a PCC with positive staining for \u03b2-HCG. Postoperative resolution of symptoms of \u03b2-HCG and catecholamine excess and normalization of hormonal levels confirmed the diagnosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2019-0216_s_997_w2aab3b7c14b1b6b1aab1c18b3Aa\">\n                  <jats:title id=\"d2761551e50743_w2aab3b7c14b1b6b1aab1c18b3aAa\">Conclusions<\/jats:title>\n                  <jats:p>Ectopic hormone secretion from PCC is possible, even if rare. Signs and symptoms attributable to ectopic hormones should be investigated in PCC patients. To date, this is the first case of a \u03b2-HCG-secreting PCC.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2019-0216","type":"journal-article","created":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T09:04:04Z","timestamp":1567760644000},"page":"1193-1197","source":"Crossref","is-referenced-by-count":0,"title":["Severe arterial hypertension and hyperandrogenism in a boy: a rare case of catecholamine- and \u03b2-HCG-secreting pheochromocytoma"],"prefix":"10.1515","volume":"32","author":[{"given":"Federica","family":"Chiale","sequence":"first","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Postgraduation School of Pediatrics, AOU Citt\u00e0 della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4334-9822","authenticated-orcid":false,"given":"Enrica","family":"Abrigo","sequence":"additional","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Postgraduation School of Pediatrics, AOU Citt\u00e0 della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Lonati","sequence":"additional","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Division of Pediatric General Surgery, AOU Citt\u00e0 della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianpaolo","family":"Di Rosa","sequence":"additional","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Department of Radiology, AOU Citt\u00e0 della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella","family":"Morra","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliero Universitaria Citt\u00e0 della Salute e della Scienza di Torino , Department of Pathology , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Licia","family":"Peruzzi","sequence":"additional","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Nephrology Dialysis and Transplantation Unit, AOU Citt\u00e0 della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Einaudi","sequence":"additional","affiliation":[{"name":"Regina Margherita Children\u2019s Hospital , Pediatric Endocrinology, AOU Citta della Salute e della Scienza, University of Turin , Turin , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2019,9,6]]},"reference":[{"key":"2023040101010086974_j_jpem-2019-0216_ref_001_w2aab3b7c14b1b6b1ab1b6b1Aa","doi-asserted-by":"crossref","unstructured":"Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics 2017;140:e20171904.2882737710.1542\/peds.2017-1904","DOI":"10.1542\/peds.2017-3035"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_002_w2aab3b7c14b1b6b1ab1b6b2Aa","unstructured":"Young Jr WF. Pheochromocytoma and paraganglioma in children. In: Post TW, editor. UpToDate. Waltham, MA: UpToDate Inc. Available at: https:\/\/www.uptodate.com (Accessed on November 20, 2018)."},{"key":"2023040101010086974_j_jpem-2019-0216_ref_003_w2aab3b7c14b1b6b1ab1b6b3Aa","doi-asserted-by":"crossref","unstructured":"Waguespack SG, Rich T, Grubbs E, Ying AK, Perrier ND, et al. A current review of the etiology, diagnosis, and treatment of pediatric pheochromocytoma and paraganglioma. J Clin Endocrinol Metab 2010;95:2023\u201337.10.1210\/jc.2009-283020215394","DOI":"10.1210\/jc.2009-2830"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_004_w2aab3b7c14b1b6b1ab1b6b4Aa","doi-asserted-by":"crossref","unstructured":"Lenders JW, Duh Q-Y, Eisenhofer G, Gimenez-Roqueplo A-P, Grebe SK, et al. Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2014;99:1915\u201342.2489313510.1210\/jc.2014-1498","DOI":"10.1210\/jc.2014-1498"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_005_w2aab3b7c14b1b6b1ab1b6b5Aa","doi-asserted-by":"crossref","unstructured":"Bhansali A, Rajput R, Behra A, Rao KL, Khandelwal N, et al. Childhood sporadic pheochromocytoma: clinical profile and outcome in 19 patients. J Pediatr Endocrinol Metab 2006;19:749\u201356.","DOI":"10.1515\/JPEM.2006.19.5.749"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_006_w2aab3b7c14b1b6b1ab1b6b6Aa","doi-asserted-by":"crossref","unstructured":"Bholah R, Bunchman TE. Review of pediatric pheochromocytoma and paraganglioma. Front Pediatr 2017;5:155.10.3389\/fped.2017.0015528752085","DOI":"10.3389\/fped.2017.00155"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_007_w2aab3b7c14b1b6b1ab1b6b7Aa","doi-asserted-by":"crossref","unstructured":"Shah T, Srirajaskanthan R, Bhogal M, Toubanakis C, Meyer T, et al. Alpha-fetoprotein and human chorionic gonadotrophin-beta as prognostic markers in neuroendocrine tumour patients. Br J Cancer 2008;99:72\u20137.10.1038\/sj.bjc.660442818577995","DOI":"10.1038\/sj.bjc.6604428"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_008_w2aab3b7c14b1b6b1ab1b6b8Aa","doi-asserted-by":"crossref","unstructured":"Kirkby-Bott J, Brunaud L, Mathonet M, Hamoir E, Kraimps J-L, et al. Ectopic hormone-secreting pheochromocytoma: a francophone observational study. World J Surg 2012;36:1382\u20138.10.1007\/s00268-012-1488-122362045","DOI":"10.1007\/s00268-012-1488-1"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_009_w2aab3b7c14b1b6b1ab1b6b9Aa","doi-asserted-by":"crossref","unstructured":"Ballav C, Naziat A, Mihai R, Karavitaki N, Ansorge O, et al. Mini-review: pheochromocytomas causing the ectopic ACTH syndrome. Endocrine 2012;42:69\u201373.10.1007\/s12020-012-9646-722396144","DOI":"10.1007\/s12020-012-9646-7"},{"key":"2023040101010086974_j_jpem-2019-0216_ref_010_w2aab3b7c14b1b6b1ab1b6c10Aa","unstructured":"Lloyd RV, Osamura RY, Kl\u00f6ppel G, Rosai J, International Agency for Research on Cancer, editors. WHO classification of tumours of endocrine organs, 4th ed. Lyon: International Agency for Research on Cancer; 2017:355 (World Health Organization classification of tumours)."}],"container-title":["Journal of Pediatric Endocrinology and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.degruyter.com\/view\/j\/jpem.2019.32.issue-10\/jpem-2019-0216\/jpem-2019-0216.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2019-0216\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2019-0216\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T17:36:00Z","timestamp":1680370560000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2019-0216\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,6]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,9,20]]},"published-print":{"date-parts":[[2019,10,25]]}},"alternative-id":["10.1515\/jpem-2019-0216"],"URL":"https:\/\/doi.org\/10.1515\/jpem-2019-0216","relation":{},"ISSN":["2191-0251","0334-018X"],"issn-type":[{"type":"electronic","value":"2191-0251"},{"type":"print","value":"0334-018X"}],"subject":[],"published":{"date-parts":[[2019,9,6]]}}}