{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:17:10Z","timestamp":1784557030929,"version":"3.55.0"},"reference-count":7,"publisher":"Bioscientifica","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["edm.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"\n Summary<\/jats:title>\n The COVID-19 pandemic has led to the emergence of telemedicine on a global scale. In endocrinology, telemedicine has mainly been used in relation to chronic diseases, including diabetes. Herein, we report the case of an 18-year-old woman with a hypertensive emergency due to a pheochromocytoma who was quickly diagnosed and treated using telemedicine. The patient was referred to a cardiovascular hospital because of fatigue and sweating that did not improve with carvedilol. She had fluctuating blood pressure and tachycardia. Subsequently, since her thyroid function was normal, endocrine hypertension not due to thyroid dysfunction was suspected; a case consultation was made by phone to our clinic. Plain computed tomography (CT) was recommended owing to the high possibility of a pheochromocytoma; the CT scan showed an adrenal tumor with a 30 mm diameter. To assess her condition, endocrinologists, together with the attending doctor, interviewed her and her family directly using an online tool to obtain detailed information. We thus determined that she was at risk of a pheochromocytoma crisis. She was transferred to our hospital immediately for treatment, was diagnosed with pheochromocytoma, and underwent surgery. Telemedicine, especially involving doctor-to-patient with doctor consultations, can be effective in treating rare and emergent medical conditions such as pheochromocytoma crisis.<\/jats:p>\n <\/jats:sec>\n \n Learning points<\/jats:title>\n \n \n Telemedicine can be used for chronic diseases and emergency conditions.<\/jats:p>\n <\/jats:list-item>\n \n Online doctor-to-patient with doctor (D-to-P with D) consultations are useful when the expert opinion of a highly specialized physician present in a different geographical location is required.<\/jats:p>\n <\/jats:list-item>\n \n Telemedicine, especially D-to-P with D online consultations, can be effectively used for the diagnosis of rare and emergent medical conditions, such as pheochromocytoma crisis.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>","DOI":"10.1530\/edm-23-0033","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T04:57:00Z","timestamp":1688446620000},"update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-2","source":"Crossref","is-referenced-by-count":1,"title":["Using telemedicine to manage a patient with a hypertensive emergency due to pheochromocytoma"],"prefix":"10.1530","volume":"2023","author":[{"given":"Seigo","family":"Konishi","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0461-3018","authenticated-orcid":true,"given":"Mitsuhiro","family":"Kometani","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ko","family":"Aiga","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Aono","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Nohara","sequence":"additional","affiliation":[{"name":"Integrative Cancer Therapy and Urology, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigehiro","family":"Karashima","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyu","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"},{"name":"Endocrine and Diabetes Center, Asanogawa General Hospital, Kanazawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Hormones","first-page":"395","article-title":"Pheochromocytoma\/paraganglioma crisis: case series from a tertiary referral center for pheochromocytomas and paragangliomas","volume":"20","author":"Meijs","year":"2021","unstructured":"Meijs ACSnel M & Corssmit EPM. Pheochromocytoma\/paraganglioma crisis: case series from a tertiary referral center for pheochromocytomas and paragangliomas. Hormones202120395\u2013403. (https:\/\/doi.org\/10.1007\/s42000-021-00274-6)"},{"key":"bib2","series-title":"Sensors International","article-title":"Telemedicine for healthcare: capabilities, features, barriers, and applications","volume":"2","author":"Abid Haleem","unstructured":"Abid Haleem JMSingh RP & Suman R. Telemedicine for healthcare: capabilities, features, barriers, and applications. Sensors International2 100117. (https:\/\/doi.org\/10.1016\/j.sintl.2021.100117)"},{"key":"bib3","series-title":"mHealth","first-page":"27","article-title":"The use of telemedicine in the preoperative management of pheochromocytoma saves resources","volume":"5","author":"Heslin","year":"2019","unstructured":"Heslin MJLiles JS & Moctezuma-Vel\u00e1zquez P. The use of telemedicine in the preoperative management of pheochromocytoma saves resources. mHealth2019527. (https:\/\/doi.org\/10.21037\/mhealth.2019.08.04)"},{"key":"bib4","series-title":"Journal of the Endocrine Society","article-title":"Management of 3 cases of pheochromocytoma during the COVID-19 pandemic in New York City: lessons learned","volume":"5","author":"Japp","year":"2021","unstructured":"Japp EALeiter ATsomos EAReda SA & Levine AC. Management of 3 cases of pheochromocytoma during the COVID-19 pandemic in New York City: lessons learned. Journal of the Endocrine Society20215 bvaa198. (https:\/\/doi.org\/10.1210\/jendso\/bvaa198)"},{"key":"bib5","series-title":"Journal of Public Health","first-page":"1","article-title":"Telemedicine in the emergency department: an overview of systematic reviews","author":"Sharifi Kia","year":"2022","unstructured":"Sharifi Kia ARafizadeh M & Shahmoradi L. Telemedicine in the emergency department: an overview of systematic reviews. Journal of Public Health20221\u201315. (https:\/\/doi.org\/10.1007\/s10389-021-01684-x)"},{"key":"bib6","series-title":"International Journal of Environmental Research and Public Health","article-title":"Factors associated with using telemedicine in the primary care clinics during the COVID-19 pandemic in Israel","volume":"19","author":"Reges","year":"2022","unstructured":"Reges OFeldhamer IWolff Sagy Y & Lavie G. Factors associated with using telemedicine in the primary care clinics during the COVID-19 pandemic in Israel. International Journal of Environmental Research and Public Health202219 13207. (https:\/\/doi.org\/10.3390\/ijerph192013207)"},{"key":"bib7","series-title":"Journal of Clinical Endocrinology and Metabolism","first-page":"2953","article-title":"Appropriate use of telehealth visits in endocrinology: policy perspective of the Endocrine Society","volume":"107","author":"Vimalananda","year":"2022","unstructured":"Vimalananda VGBrito JPEiland LALal RAMaraka SMcDonnell MENarla RRRoth MY & Crossen SS. Appropriate use of telehealth visits in endocrinology: policy perspective of the Endocrine Society. Journal of Clinical Endocrinology and Metabolism20221072953\u20132962. 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