11/28/2012

Years of hypertension treatment, the reason is actually adrenal tumor

Guangzhou a risk of hypertension ten years "old sick" has such doubt. He recently due to cervical pain old habits to the hospital, but was found to lead to hypertension in the arch-criminal -- adrenal long a cortical adenoma! The reporter learns, this patient after operation after treatment, blood pressure has dropped to the normal range. The expert reminds, many factors can cause of secondary hypertension, patients do not misuse of antihypertensive drugs.

Risk of hypertension 10 years long

The 58 year old Mr. Qiu struggle with hypertension has been more than 10 years. More than 10 years he has relied on blood pressure lowering drugs to control the blood pressure, but the effect is not ideal. From 8 years ago, he often neck pain, as he engaged in technical work, he thinks is working at his desk to " cervical vertebra disease ", and after the plaster finished enough pain to ease symptoms, they have no heart. Until March of this year, Mr. Qiu's neck pain exacerbations, weakness in the limbs, walk and turn over in bed can be difficult, he decided to go to the Department of orthopedics of Guangdong No.2 People's Hospital of completely solve the " problem of cervical vertebra disease ".

However, the hospital to Mr. Qiu were blood pressure and serum potassium and other aspects of the inspection, found his potassium is apparent on the low side, accompanied by alkali poisoning symptoms. Department of orthopedics doctors doubt its suffer from hypertension is secondary, then transferred to the Department of Endocrinology for further examination.

" We gave him the system inspection, found in his left adrenal area occupying lesions, presence of a cortical adenoma. " The reception of his department of Endocrinology, Dr. Zhao Hongli said, is this a sebaceous adenoma causes of primary aldosteronism, resulting in secondary hypertension.

Endocrine diseases cause hypertension easily overlooked

Explained, primary hyperaldosteronism due to an adrenal cortical tumors, or hyperplasia, leading to increased secretion of aldosterone induced, hyperaldosteronism prevalence in a population of about 1%~10%. Due to aldosterone is one important hormone regulation of blood pressure, the excessive secretion can cause fluctuations in blood pressure, this is Mr. Qiu hypertension causes. In addition, aldosterone increase makes Mr. Qiu due to urinary potassium excretion and excessive low blood potassium, which he led to the emergence of weakness of the limbs, neck pain and alkali poisoning reason.



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