title: [A unique case of recurrent malignant hypertension after removal of an adrenal tumor for primary aldosteronism].
abstract: We report here a unique case of recurrent malignant hypertension after the removal of an adrenal tumor for primary aldosteronism. The patient had a history of hypertension for 15 years. In 1995, he developed drug-resistant hypertension with hyperreninemia, hyperaldosteronemia and hypokalemia. He was diagnosed as having primary aldosteronism with a right adrenal tumor. His blood pressure did not normalize and renal dysfunction continued after the adrenalectomy. Although antihypertensive treatment was continued for residual hypertension, he soon refused medication. In 1997, he developed recurrent malignant hypertension. It was considered that the different underlying mechanisms might be attributable to the two episodes of malignant hypertension in this patient.
authors.affiliation: Department of Internal Medicine, National Kyushu Medical Center Hospital.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Ohta
authors.forename: Michio
authors.initials: M
authors.lastname: Ueno
authors.forename: Tomoko
authors.initials: T
authors.lastname: Kajioka
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Tominaga
authors.forename: Takashi
authors.initials: T
authors.lastname: Odakura
authors.forename: Takuya
authors.initials: T
authors.lastname: Tsuchihashi
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000601:surgery*; D000315:Adrenalectomy; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology* / Q000601:surgery*; D006974:Hypertension, Malignant / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence