Sub-title | |
Authors | Gerhard Attard MD, MRCP (UK) M J Cachia MD, MRCP (UK) |
Abstract | When hypertension is a result of an underlying identifiable abnormality, the latter's early discovery can lead to a timely cure of the hypertension and the prevention of its complications. We present a case of high blood pressure lowered by pregnancy, suggestive of an endocrine cause. This was confirmed following a detailed history which revealed severe hypertension intractable to therapy, yet which remitted during pregnancy. A diagnosis of 11-beta hydroxylase deficiency was made consequent upon the finding of raised serum 11-desoxycorticosterone levels. The blood pressure was finally controlled with glucocorticoid replacement therapy and spironolactone. |
Published in: | |
Journal | Malta Medical Journal |
Volume | 16 Issue 02 |
Pages | 40 - 41 |
Date | 01/07/2004 |
Link to journal | |
Key words | 11-desoxycorticosterone, hypertension, pregnancy |