Review Article
Adrenocortical Causes of Hypertension
Table 2
Adrenocortical causes of hypertension.
| Low renin and high aldosterone |
| Primary aldosteronism | (1) Aldosterone producing adenomas(APA)—35% of cases | (2) Bilateral idiopathic hyperplasia(IHA)—60% of cases | (3) Primary adrenal hyperplasia—2% of cases | (4) Aldosterone-producing adrenocortical carcinoma—<1% of cases | (5) Familial Hyperaldosteronism(FH) | (i) Glucocorticoid-remediable Aldosteronism(FH type I)—<1% of cases | (ii) FH type II(APA or IHA)—<2% of cases | (6) Ectopic aldosterone producing adenoma or carcinoma-<0.1% of cases |
| Low renin and low aldosterone |
| Hyperdeoxycorticosteronism | (1) Congenital adrenal hyperplasia | 11β-hydroxylase deficiency | 17α-hydroxylase deficiency | (2) Deoxycorticosterone producing tumor | (3) Primary cortisol resistance | (4) Apparent mineralocorticoid excess (AME) 11β-Hydroxysteroid dehydrogenase deficiency (Genetic or Acquired) | (5) Cushing’s syndrome and Cushing’s disease |
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