Endocrinologia e Síndrome Metabólica
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Acromegaly Presented as Severe Hypertension due to Primary Hyperaldosteronism

Ramazan Gen, Esen Akbay and Erdem Akbay

The coexistence of acromegaly and primary hyperaldosteronism is very rare. We herein report a 30-year-oldwoman with severe hypertension in patient with acromegaly. After the endocrine tests confirmed the active acromegaly, hypogonadotropic hypogonadism and autonomous secretion of aldosterone, then patients underwent pituitary and adrenal MRI. MRI of the sella revealed intra and suprasellar adenoma with extending to right and left cavernous sinus. Adrenal MRI revealed 20×15 mm ovoid left adrenal adenoma with normal right adrenal. Patient first undergo surgical removal of the pituitary tumor. Then patient underwent left open adrenalectomy. Following the adrenalectomy, her blood pressure and number of antihypertensive drugs reduced significiantly. In conclusion clinicians should be aware that a acromegalic patient with severe hypertension needs to be evaulated carefully for the possible curable cause of secondary hypertension such as primary hyperaldosteronism.