Hypertension as a paraneoplastic syndrome in hepatocellular carcinoma.

Abstract:

:We report a 66-year-old man with hepatocellular carcinoma who was positive for hepatitis B surface antigen, and was hospitalized because of hypoglycemia and hypertension. His plasma renin activity was normal (2.3 ng/ml per h), but concentrations of angiotensin I (>2500 pg/ml) and II (86 pg/ml) were high. Increased angiotensin I level at sites proximal and distal from the confluence of the hepatic vein and the inferior vena cava indicated that the hypertension was provoked by overproduction of angiotensin I from the hepatocellular carcinoma. Previous reports of patients with hepatocellular carcinoma with hypertension due to abnormality of renin-angiotensin system are reviewed.

journal_name

J Gastroenterol

authors

Arai H,Saitoh S,Matsumoto T,Makita F,Mitsugi S,Yuasa K,Takagi H,Mori M

doi

10.1007/s005350050309

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

530-4

issue

4

eissn

0944-1174

issn

1435-5922

journal_volume

34

pub_type

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