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Multiple causes for secondary hypertension in a young female

R. J. Widmer, Dana Erickson, Marius N. Stan, Michael A. McKusick, Vesna D. Garovic

Authors information
  • R. J. Widmer
    Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
  • Dana Erickson
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
  • Marius N. Stan
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Mayo Clinic, Rochester, MN, United States.
  • Michael A. McKusick
    Division of Vascular and Interventional Radiology, Department of Radiology, Mayo Clinic, Rochester, MN, United States.
  • Vesna D. Garovic
    Division of Neprhology and Hypertension, Department of Internal Medicine, Mayo Medical School, Rochester, MN, United States. Garovic.Vesna@Mayo.edu

Abstract


Secondary causes of hypertension can affect over 10% of those patients diagnosed with hypertension, and the workup can encompass a wide variety of pathologies. Here we present a case of secondary hypertension found in a young physician who, fortunately, had both of these two entities diagnosed via fortuitous imaging performed for non-diagnostic reasons. This case involves a relatively common cause of secondary hypertension (renovascular) and a more obscure cause (paraganglioma). We outline evidencebased surgical and perioperative management of paragangliomas, as well as the medical management of renovascular hypertension. This case is unique in that it involves both elements of secondary hypertension and presents difficult management decisions.

Keywords


paraganglioma, secondary hypertension, fibromuscular dysplasia

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Submitted: 2011-09-22 22:48:12
Published: 2012-01-18 14:14:26
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Nephrology Reviews [eISSN 2035-813X] is an Open Access, peer-reviewed journal published online by PAGEPress, Pavia, Italy on behalf of Wichtig Editore, Milan, Italy. All credits and honors to PKP for their OJS.

 
 
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