[Arterial hypertension during pregnancy: Always preeclampsia?]

Hipertens Riesgo Vasc. 2017 Apr-Jun;34(2):93-95. doi: 10.1016/j.hipert.2016.03.003. Epub 2016 Apr 27.
[Article in Spanish]

Abstract

Cushing's syndrome is a rare condition during pregnancy, but it is associated with serious maternal and fetal complications. The most common etiology during pregnancy is the presence of an adrenocortical adenoma. Urinary free cortisol over 3 times the upper limit of normal usually indicates Cushing's syndrome during pregnancy. The treatment of choice is surgical, and the ideal time for surgery is before the third trimester.

Keywords: Adenoma suprarrenal; Adrenocortical adenoma; Cushing's syndrome; Embarazo; Hipertensión; Hipertensión secundaria; Hypertension; Pregnancy; Secondary hypertension; Síndrome de Cushing.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications
  • Adenoma / diagnosis
  • Adenoma / diagnostic imaging
  • Adenoma / surgery
  • Adrenal Gland Neoplasms / complications
  • Adrenal Gland Neoplasms / diagnosis
  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adrenal Gland Neoplasms / surgery
  • Adrenalectomy
  • Adult
  • Antihypertensive Agents / therapeutic use
  • Catecholamines / urine
  • Cesarean Section
  • Cushing Syndrome / diagnosis*
  • Cushing Syndrome / etiology
  • Cushing Syndrome / urine
  • Diabetes, Gestational / diagnosis
  • Diagnostic Errors*
  • Elective Surgical Procedures
  • Emergencies
  • Female
  • Humans
  • Hydrocortisone / blood
  • Hydrocortisone / urine
  • Hypertension / drug therapy
  • Hypertension / etiology*
  • Pre-Eclampsia / diagnosis*
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Pregnancy Complications / etiology

Substances

  • Antihypertensive Agents
  • Catecholamines
  • Hydrocortisone