Family hyperaldosteronism type I: a clinical case and review of literature

N M Chikladze1, O O Favorova1,2, I E Chazova1

  • 1National Medical Cardiology Research Center of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.

Terapevticheskii Arkhiv
|February 1, 2019
PubMed

Insights

Glucocorticoids-remediable hyperaldosteronism, a rare genetic hypertension, causes cerebrovascular issues. Glucocorticoid therapy effectively manages aldosterone levels and blood pressure in this condition.

Area of Science:

  • Endocrinology
  • Genetics
  • Cardiology

Background:

  • Familial hyperaldosteronism type I (FHA I), also known as glucocorticoids-remediable hyperaldosteronism (GRA), is a rare monogenic disorder.
  • It is characterized by symptomatic arterial hypertension (AH) and an increased risk of cerebrovascular complications.

Observation:

  • The condition arises from a chimeric gene (CYP11B2/CYP11B1) regulated by adrenocorticotropic hormone.
  • This abstract details the first reported clinical case of FHA I diagnosed in Russia, with a 40-year follow-up.

Findings:

  • Glucocorticoid therapy normalizes blood pressure by reducing aldosterone secretion.
  • The case highlights the long-term clinical course and successful management of this rare hypertension.

Implications:

  • Early diagnosis and treatment of FHA I are crucial for preventing severe complications.
  • This case contributes to understanding the management of rare genetic forms of hypertension.

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