Primary Aldosteronism Presenting with Hypertension Five Days after Delivery: A Case Report and Literature Review
| Autor: | Tsutomu Nishiyama, Yasuhiro Nakamura, Yuichiro Yoneoka, Michi Kobayashi, Nobumasa Ohara, Yayoi Aoki, Go Hasegawa, Yoshiki Kazama |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adenoma medicine.medical_treatment Adrenal Gland Neoplasms Postpartum Hypertension chemistry.chemical_compound Primary aldosteronism Pregnancy Hyperaldosteronism Internal Medicine medicine Humans Aldosterone business.industry Adrenalectomy General Medicine medicine.disease Blood pressure chemistry Adrenocortical Adenoma Hypertension Female business Postpartum period |
| Zdroj: | Internal medicine (Tokyo, Japan). 61(4) |
| ISSN: | 1349-7235 |
| Popis: | A 35-year-old Japanese woman with no history of hypertension developed hypertension 5 days after normal delivery. Endocrinological and radiological examinations indicated primary aldosteronism (PA) and a 1.4-cm left adrenal tumor. The patient underwent laparoscopic adrenalectomy, and a diagnosis of aldosterone-producing adenoma was confirmed immunohistochemically. Her plasma aldosterone concentration and blood pressure normalized. Cases of PA presenting with hypertension in the postpartum period have been reported. This case suggests that PA should be considered in women with postpartum hypertension, especially in those with blood pressure that suddenly increases shortly after delivery, even if they were normotensive before and throughout pregnancy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|