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...
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2003-01-01
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Series: | Arquivos Brasileiros de Cardiologia |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000900009 |
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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 |