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2021 Jul 05

Hipertens Riesgo Vasc

[Malignant hypertension and pheochromocytoma: a case report].


Bury R, Leon Roman J, Casteras A, Vergara A, Biagetti B, García-Carro C, Cordero-Vazquez E, Hernández Hernández I, Agraz I, Soler MJ
Hipertens Riesgo Vasc. 2021 Jul 05.
PMID: 34238673.


Malignant arterial hypertension is defined by extremely high levels of pressure associated with organ damage. It is a cause of hypertensive emergency and is defined by the coexistence of high blood pressure and bilateral retinal haemorrhage or exudates (grade III hypertensive retinopathy), with or without papilloedema (grade IV hypertensive retinopathy) currently associated with organ damage such as renal or cardiac failure. Around 1% of malignant arterial hypertension is secondary to endocrinological causes, including the most common: pheochromocytoma, which is classically characterized by the triad: headache, sweating and palpitations. However, there is no single clinical finding that is of significant value in its diagnosis. We now present the case of a 23-year-old patient with a hypertensive emergency, an adrenal mass associated with grade IV hypertensive retinopathy.