Clinical Case 8.4

A 47-year-old man was referred to the Endocrine out-patients clinic because he had been suffering intermittent episodes of flushing up to six times daily, each lasting approximately a minute associated with wheezing and loud bowel sounds (termed borborygmi). There was no history of skin problems or diarrhea. When seen, the only abnormality was a palpably enlarged liver. His blood pressure was normal. During a spontaneous attack in the clinic, he was noted to develop a ‘blush’ over the face, neck and upper chest; the trunk and legs were unaffected.

From: Chapter 8, Cardiovascular and renal endocrinology

Cover of Endocrinology
Endocrinology: An Integrated Approach.
Nussey S, Whitehead S.
Copyright © 2001, BIOS Scientific Publishers Limited.

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