Aldosterone-secreting adenoma and dysautonomic failure: the challenging association of 2 extreme conditions.
This is the first published report describing the association between primary aldosteronism and chronic idiopathic orthostatic hypotension. The clinical history of a 57 year old man with incapacitating postural hypotension and severely symptomatic supine hypertension, is described. A possible occupational etiology of postural hypotension, with regard to a prolonged exposure to cutting oils, is considered. The intriguing pathophysiologic aspects of this unique association are discussed. The Authors suggest that, although supine hypertension is common in chronic idiopathic orthostatic hypotension, a careful examination of the adrenal glands is advisable in these patients, to rule out the presence of an associated adrenal adenoma.
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II Cattedra di Cardiologia, Università degli Studi La Sapienza, Roma.
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Viola
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D000236:Adenoma / Q000378:metabolism* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000378:metabolism* / Q000601:surgery; D000450:Aldosterone / Q000378:metabolism*; D001342:Autonomic Nervous System Diseases / Q000139:chemically induced / Q000209:etiology*; D002908:Chronic Disease; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology; D007024:Hypotension, Orthostatic / Q000139:chemically induced / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D008899:Mineral Oil / Q000009:adverse effects; D009784:Occupational Diseases / Q000139:chemically induced
D000450:Aldosterone; D008899:Mineral Oil