Resumen
La hipertensión arterial puede ser la primera presentación en al menos 15 entidades endocrinas. Un diagnóstico preciso temprano de una hipertensión endocrina brinda la posibilidad al internista o endocrinólogo de conseguir una cura por medio de cirugía o de obtener un control estricto de la entidad con una terapia farmacológica específica. La experiencia ha demostrado que los clínicos deben tener presente la presencia de hiperaldosteronismo primario en la mayoría de los casos de hipertensión arterial y de estar alerta sobre la presencia de un feocromocitoma o un paraganglioma o ciertos casos sospechosos de la entidad.
El estudio de los pacientes hipertensos con una entidad endocrina hace posible con frecuencia llegar a un diagnóstico de precisión en entidades en las cuales es difícil pensar, con base solamente el cuadro clínico solapado o inexistente o por su rareza, como el síndrome de aparente exceso de mineralo-corticoides, la hiperplasia adrenal congénita, o la apnea obstructiva; haciendo posible el control de las complicaciones a largo plazo de la hipertensión.
Citas
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