Coexistence of two causes of secondary hypertension in a single patient

Abstract

The prevalence of secondary hypertension (SHT) is 4.7--6% in patients with arterial hypertension that are referred to specialist care settings. Diagnosis is desirable, because these types of hypertension are many times resolved. It is uncommon to find two secondary causes simultaneously in the same patient. In a study performed with 1090 patients referred to a clinical unit, Omura et al. found that the prevalence was slightly higher than that previously reported (93 patients with SHT). They found that primary hyperaldosteronism (PHA) was the most frequent etiology, followed by Cushing’s syndrome. Of note, none of those patients had more than one secondary cause. Here, we report a patient who had two secondary etiologies of hypertension diagnosed simultaneously. Both were resolved after they were individually treated, and the patient achieved a normotensive status.