Association of Accelerated (Malignant) Hypertension in a Patient with Primary Aldosteronism

Observations are presented in a 37-yr-old woman with accelerated (malignant) hypertension, congestive heart failure and recurrent episodes of hypokalemia and alkalosis. Although extensive studies to differentiate primary from secondary aldosteronism were performed, definitive diagnosis was made only by adrenal exploration. The removal of an adrenal corticsl adenoma corrected the metabolic alkalosis and hypokalemia and improved the hypertension.