REFRACTORY HYPERTENSION DUE TO CONNS-SYNDROME

Patients who have Conn's syndrome, or oversecretion of aldosterone by an adrenal adenoma, may present with hypertension as the only sign. Be cause essential hypertension is so common, physicians may simply begin antihypertensive therapy without adequately searching for an underlyi ng treatable condition. In this article, the authors report a case of refractory hypertension in which extensive evaluation revealed that Co nn's syndrome was the cause.