Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
AUTOR(ES)
Bortolotto, Luiz Aparecido, Cesena, Fernando Henpin Yue, Jatene, Fabio Biscegli, Silva, Hélio Bernardes
FONTE
Arquivos Brasileiros de Cardiologia
DATA DE PUBLICAÇÃO
2003-07
RESUMO
Two cases are reported as follows: 1) 1 female patient with accelerated-malignant hypertension secondary to an aldosterone-producing adrenal adenoma; and 2) 1 female patient with adrenal adenoma, severe hypertension, and hypertensive encephalopathy. This association is a rare clinical finding, and malignant hypertension may modify the hormonal characteristic of primary aldosteronism, making its diagnosis more difficult. The diagnosis of primary aldosteronism should be considered in patients with malignant hypertension or hypertensive encephalopathy if persistent hypokalemia occurs. Identification of primary aldosteronism is of paramount importance for the patient's evolution, because the surgical treatment makes the prognosis more favorable.
Documentos Relacionados
- Primary tumorous aldosteronism due to a black adrenal adenoma: a light and electron microscopic study.
- The Steroid Content of Adrenal Adenomas and Measurements of Aldosterone Production in Patients with Essential Hypertension and Primary Aldosteronism*
- IN VIVO AND IN VITRO STUDIES OF ADRENAL SECRETIONS IN CUSHING'S SYNDROME AND PRIMARY ALDOSTERONISM*
- Possibility of normokalaemic primary aldosteronism as reflected in the frequency of adrenal cortical adenomas
- ALDOSTERONE SECRETION AND PRIMARY AND MALIGNANT HYPERTENSION *