Hyperreninemia and secondary hyperaldosteronism in a patient with pheochromocytoma and von Hippel-Lindau disease.

Abstract:

:In a 21-year-old Caucasian women with von Hippel-Lindau disease, norepinephrine-producing adrenal pheochromocytoma was identified as the underlying cause of severe hypertension. She was found to have extremely elevated levels of circulating renin and aldosterone, and she was markedly hypokalemic. Administration of captopril further enhanced renin secretion, while her blood pressure improved. The patient became normokalemic following tumor removal, and her blood pressure decreased to normal levels with reestablishment of normal circadian blood pressure rhythm. This case demonstrates that, in the absence of renovascular or malignant hypertension, pheochromocytoma can be the underlying cause for the clinical syndrome of hypertension associated with severe hypokalemia and hyperreninemic hyperaldosteronism.

journal_name

Nephron

journal_title

Nephron

authors

Lenz T,Thiede HM,Nussberger J,Atlas SA,Distler A,Schulte KL

doi

10.1159/000187071

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

345-50

issue

3

eissn

1660-8151

issn

2235-3186

journal_volume

62

pub_type

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