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 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.
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Sociedade Brasileira de Cardiologia - SBC
2003
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oai:scielo:S0066-782X20030009000092003-07-31Malignant 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.81 n.1 20032003-07-01info:eu-repo/semantics/othertext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000900009en10.1590/S0066-782X2003000900009 |
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Bortolotto,Luiz Aparecido Cesena,Fernando Henpin Yue Jatene,Fabio Biscegli Silva,Hélio Bernardes |
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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 |
| author_facet |
Bortolotto,Luiz Aparecido Cesena,Fernando Henpin Yue Jatene,Fabio Biscegli Silva,Hélio Bernardes |
| author_sort |
Bortolotto,Luiz Aparecido |
| title |
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_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_sort |
malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma |
| 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. |
| publisher |
Sociedade Brasileira de Cardiologia - SBC |
| publishDate |
2003 |
| url |
http://old.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 |
| _version_ |
1756381487420145664 |