Hypertensive emergency: A unique manifestation of a pituitary disorder

Acromegaly a common pituitary disorder has significant adverse effects on well-being and survival. The slight increase in the prevalence of hypertension in acromegaly is well known and is proposed to be the direct effects of growth hormone. The hypertension for calculating the prevalence in most ser...

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Bibliographic Details
Published in:Indian journal of endocrinology and metabolism 2013-07, Vol.17 (4), p.747-750
Main Authors: Yanamandra, Uday, Jairam, Anantharam, Kotwal, Narendra, Venkata, Baliga, Nair, Velu
Format: Article
Language:English
Subjects:
Acromegaly
Care and treatment
Case Report
Case studies
Complications and side effects
Diagnosis
Health aspects
Hypertension
hypertensive emergency
hypertensive nephrosclerosis
Patient outcomes
Pituitary diseases
Risk factors
Somatotropin
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Summary:Acromegaly a common pituitary disorder has significant adverse effects on well-being and survival. The slight increase in the prevalence of hypertension in acromegaly is well known and is proposed to be the direct effects of growth hormone. The hypertension for calculating the prevalence in most series was defined as diastolic more than 100 mmHg, but hypertensive emergency is rarely ever described in the literature. Growth hormone excess has been associated with renal manifestations such as hypercalciuria and nephrolithiasis, but never with renal failure. We present a case referred to a tertiary care nephrology center with malignant hypertension. This is the first case of a patient of acromegaly presenting with hypertensive emergency progressing to malignant nephrosclerosis and renal failure.
ISSN:2230-8210
2230-9500
DOI:10.4103/2230-8210.113775