Evidence for an unidentified, adrenocorticotrophic hormone-dependent mineralocorticoid maintaining hypertension in young women with hypoaldosteronism.

W H Hoefnagels, J I Drayer, J A Hofman, A G Smals, T J Benraad, P W Kloppenborg
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Abstract

1. Pronounced hypoaldosteronism was found in five young women with low-renin hypertension and characteristic features of the mineralocorticoid hypertensive syndrome. 2. There was no overproduction of the mineralocorticoids 11-deoxycorticosterone and 18-OH-11-deoxycorticosterone. 3. Dexamethasone restored blood pressure to normal, decreased body weight, increased plasma potassium, and increased plasma renin activity and aldosterone excretion in all patients. 4. The data suggest overproduction of an unknown adrenocorticotrophic hormone-dependent mineralocorticoid maintaining hypertension in these patients.

证据不明,肾上腺皮质促激素依赖的矿物皮质激素维持高血压的年轻女性低醛固酮增多症。
1. 在5例低肾素高血压和矿皮质激素高血压综合征的年轻女性中发现明显的低醛固酮增多症。2. 矿物皮质激素11-脱氧皮质酮和18- oh -11-脱氧皮质酮没有过量产生。3.地塞米松使所有患者血压恢复正常,体重下降,血浆钾升高,血浆肾素活性和醛固酮排泄增加。4. 数据提示,一种未知的促肾上腺皮质激素依赖性矿化皮质激素的过量产生维持了这些患者的高血压。
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