Revista Costarricense de Cardiología
versión ISSN 1409-4142
VILLARROEL ABREGO, Hugo. Hiperaldosteronismo hiporreninémico supresible con glucocorticoides. Reporte de un caso y revisión de la literatura. Rev. costarric. cardiol [online]. 2007, vol.9, n.3, pp. 23-28. ISSN 1409-4142.
Glucocorticoid-supressible hyporeninemic hyperaldosteronism. A case report and literature review This case report is about a male 57-years patient, with severe and refractary arterial hypertension, treated unsuccesfully with four antihypertensive drugs. Besides there was muscular weakness, metabolic alkalosis, severe hypokalemia and inapropiate kaliuresis and a secundary cause of hypertension was considered. After a comprehensive workout and several sequential clinical assays, it was concluded that this state of hyporeninemic hyperaldosteronism was a case of the rare genetic disease known as a glucocorticoid-remediable hyperaldosteronism. As far as we know, this is the first case reported in El Salvador and Central America. A review of the subject has been made.
Palabras llave : refractary hypertension; hyperaldosteronism.