Adrenocortical hypertension.
Primary aldosteronism, congenital adrenal hyperplasia, Cushing's syndrome, glucocorticoid-remediable aldosteronism, and corticotropin-dependent forms of adrenal pathology can cause hypertension by excessive production of adrenocortical hormones. Although traditional biochemical assays continue to be used, genetic testing has simplified the diagnosis of glucocorticoid-remediable aldosteronism. Also new interventional radiologic approaches for the diagnosis and treatment of corticotropin-dependent forms of Cushing's syndrome are available. Medical and surgical approaches, however, still remain viable options for treatment.
Division of Endocrinology, Diabetes and Hypertension, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA.
Angelo
A
Capricchione
Nathaniel
N
Winer
James R
JR
Sowers