Brief Report

Pediatric Nephrology

, Volume 23, Issue 3, pp 473-475

First online:

Two cases of pheochromocytoma presenting with ADHD (attention deficit hyperactivity disorder)-like symptoms

  • Robert HawsAffiliated withMarshfield Clinic
  • , Mark JosephAffiliated withPhoenix Children’s Hospital
  • , Raymond AdelmanAffiliated withPhoenix Children’s Hospital Email author 

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Two patients with pheochromocytoma initially presented with behavioral symptoms similar to those seen with attention deficit hyperactivity disorder (ADHD): inability to concentrate, hyperactivity, and poor school performance. One patient was treated with dextroamphetamine/amphetamine for 4 months, at which time medication was discontinued when hypertension appeared. The second patient had hypertension when initially seen. All behavioral abnormalities resolved following tumor resection. Children with ADHD-like symptoms who present atypically at an older age or have other somatic signs and symptoms such as headaches and hypertension should undergo evaluation to rule out an organic etiology.


Pheochromocytoma ADHD Hypertension Behavioral Ritalin