Hipertensão arterial maligna e encefalopatia hipertensiva em hiperaldosteronismo primário por adenoma de supra-renal / Malignant hypertension and hypertensive encephalopathy in primary aldosteronism caused by adrenal adenoma
Arq. bras. cardiol
; 81(1): 93-100, July 2003. ilus
Article
in Portuguese, English
| LILACS
| ID: lil-341306
Responsible library:
BR1.1
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
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Adrenal Cortex Neoplasms
/
Adrenocortical Adenoma
/
Hypertensive Encephalopathy
/
Hyperaldosteronism
/
Hypertension, Malignant
Type of study:
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2003
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR