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NDT Plus Advance Access published online on December 4, 2008
NDT Plus, doi:10.1093/ndtplus/sfn183
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Multiple aetiologies of secondary hypertension in one patient

Eliezer Golan1,2, Danny Nabriski2,3, Yehonatan Sharabi2,4, Miryam Werner5, Yigal Griton5, Evgeny Moshkovich3 and Ze’ev Korzets1,2

1 Department of Nephrology and Hypertension, Sapir Medical Center, Kfar-Saba
2 Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv
3 Unit of Endocrinology and Metabolism, Sapir Medical Center, Kfar-Saba
4 Department of Internal Medicine D and Hypertension unit, Sheba Medical Centre, Tel-Hashomer
5 Department of Diagnostic Imaging, Sapir Medical Center, Kfar-Saba, Israel

Correspondence: Eliezer Golan, MD, Dept. of Nephrology & Hypertension, Sapir Medical Center, 59 Tchernichovsky Str., Kfar-Saba 44281, Israel. Tel: +972-9-7472684; Fax: +972-9-7416918; E-mail: golanel{at}clalit.org.il


  Abstract

Apart from seeking target organ damage, the investigation of hypertension is primarily aimed at finding a treatable cause of the hypertension. The finding of one such cause is usually construed as being the sole culprit responsible for the patient's elevated blood pressure. The existence of multiple aetiologies of secondary hypertension in one patient is infrequent. In this report, we describe such a patient in whom secondary hypertension due to Cushing's disease, renovascular and finally baroreflex failure was successively documented.

Key Words: baroreflex failure • Cushing's disease • renovascular hypertension • secondary hypertension

Received for publication February 20, 2008. Accepted for publication November 3, 2008.


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