Hypertension with hidden causes: the cognitive and behavioral profile of an adult female with chronic stress and 16p11.2 microdeletion.
J Hypertens
; 42(1): 179-184, 2024 01 01.
Article
em En
| MEDLINE
| ID: mdl-37698889
ABSTRACT
This case report aims to alert physicians to neuropsychological features and chromosomal variants that may underly resistant hypertension. We present a 35-year-old female patient with hypertensive crisis (BP 260/160âmmHg), initially treated with a combination of calcium antagonists, beta blockers, diuretics and angiotensin-converting enzyme (ACE)-inhibitors, though with little improvement. Cushing's syndrome, Conn's syndrome, and glucocorticoid receptor deficiency were ruled out. Multidisciplinary examination of medical history and (hetero)anamneses including psychosocial factors revealed mild dysmorphic body features, developmental delay, early diagnosis of autism spectrum disorder, a history of being bullied at school, little peer contact, learning disabilities, and special education. Neuropsychological assessment demonstrated below average to low average intelligence quotient, cognitive impairments, and psychopathology. Parallel genetic analyses revealed a rare 16p11.2 microdeletion syndrome. These concurrent examinations explained the patient's life-long high stress levels. After psychological treatment, with additional support at home, her blood pressure lowered to normal levels and antihypertensive drugs were no longer needed.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Transtorno do Espectro Autista
/
Hipertensão
Tipo de estudo:
Etiology_studies
/
Screening_studies
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
J Hypertens
Ano de publicação:
2024
Tipo de documento:
Article