Malignant Hypertension in a Patient with Conn's Syndrome

Abstract

A patient is described who presented with severe hypertension accompanied by fundal haemorrhages, exudates and papilloedema, in whom the presence of a low plasma renin, elevated plasma aldosterone and an adrenal adenoma were consistent with Conn's Syndrome. Histological evidence of arteriolar fibrinoid necrosis and coexistent bronchial tumour were also present. The rarity and relationship of these features are discussed.