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Bilateral renal artery stenosis and primary aldosteronism in a diabetic patient
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Sir,
The close association between diabetes mellitus and cardiovascular disease is well known, the risk of cardiovascular disease being 2–5 times greater in diabetics than in the background population.1 Renal arteries seem to be widely involved in the macrovascular disease of diabetes, and primary aldosteronism is also a well-recognized cause of secondary hypertension. We report a diabetic woman presenting with refractory hypertension, who had coexisting bilateral atherosclerotic renal artery stenosis and aldosteronism due to bilateral adrenal hyperplasia.
A 58-year-old woman was admitted to our Department because of refractory hypertension during the last 4 months, superimposed on pre-existing and poorly controlled hypertension. The patient was completely asymptomatic. There was
2nd Propedeutic Department of Internal Medicine Aristotle University of Thessaloniki Hippokration Hospital Thessaloniki Greece
email: ktziomalos@yahoo.com
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