title: Hypertensive emergency: A unique manifestation of a pituitary disorder.
abstract: 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.
authors: Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
authors: Uday
authors: U
authors: Yanamandra
authors: Anantharam
authors: A
authors: Jairam
authors: Narendra
authors: N
authors: Kotwal
authors: Baliga Krishna
authors: BK
authors: Venkata
authors: Velu
authors: V
authors: Nair
keywords: Acromegaly; hypertensive emergency; hypertensive nephrosclerosis
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