Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma

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 m...

Full description

Bibliographic Details
Main Authors: Bortolotto Luiz Aparecido, Cesena Fernando Henpin Yue, Jatene Fabio Biscegli, Silva Hélio Bernardes
Format: Article
Language:English
Published: Sociedade Brasileira de Cardiologia (SBC) 2003-01-01
Series:Arquivos Brasileiros de Cardiologia
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000900009
_version_ 1828180635003387904
author Bortolotto Luiz Aparecido
Cesena Fernando Henpin Yue
Jatene Fabio Biscegli
Silva Hélio Bernardes
author_facet Bortolotto Luiz Aparecido
Cesena Fernando Henpin Yue
Jatene Fabio Biscegli
Silva Hélio Bernardes
author_sort Bortolotto Luiz Aparecido
collection DOAJ
description 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.
first_indexed 2024-04-12T05:47:27Z
format Article
id doaj.art-325ff32021474ed4aa71b8e364165002
institution Directory Open Access Journal
issn 0066-782X
1678-4170
language English
last_indexed 2024-04-12T05:47:27Z
publishDate 2003-01-01
publisher Sociedade Brasileira de Cardiologia (SBC)
record_format Article
series Arquivos Brasileiros de Cardiologia
spelling doaj.art-325ff32021474ed4aa71b8e3641650022022-12-22T03:45:25ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702003-01-0181197100Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenomaBortolotto Luiz AparecidoCesena Fernando Henpin YueJatene Fabio BiscegliSilva Hélio BernardesTwo 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000900009
spellingShingle Bortolotto Luiz Aparecido
Cesena Fernando Henpin Yue
Jatene Fabio Biscegli
Silva Hélio Bernardes
Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
Arquivos Brasileiros de Cardiologia
title Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
title_full Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
title_fullStr Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
title_full_unstemmed Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
title_short Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
title_sort malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000900009
work_keys_str_mv AT bortolottoluizaparecido malignanthypertensionandhypertensiveencephalopathyinprimaryaldosteronismcausedbyadrenaladenoma
AT cesenafernandohenpinyue malignanthypertensionandhypertensiveencephalopathyinprimaryaldosteronismcausedbyadrenaladenoma
AT jatenefabiobiscegli malignanthypertensionandhypertensiveencephalopathyinprimaryaldosteronismcausedbyadrenaladenoma
AT silvaheliobernardes malignanthypertensionandhypertensiveencephalopathyinprimaryaldosteronismcausedbyadrenaladenoma