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Inicio Hipertensión y Riesgo Vascular Hipertensión arterial durante el embarazo: ¿siempre preeclampsia?
Journal Information
Vol. 34. Issue 2.
Pages 93-95 (April - June 2017)
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Vol. 34. Issue 2.
Pages 93-95 (April - June 2017)
Caso clínico
Hipertensión arterial durante el embarazo: ¿siempre preeclampsia?
Arterial hypertension during pregnancy: Always preeclampsia?
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333
I. Torres-Courchouda,
Corresponding author
isabeltorresc@yahoo.es

Autor para correspondencia.
, V. Alastrue-del Castañoa, J. Cebollada-del Hoyoa, M.A. Bielsa-Rodrigob, M.A. Sancho-Serranoc
a Medicina Interna, Hospital Universitario Lozano Blesa, Zaragoza, España
b Cirugía general, Hospital universitario Lozano Blesa de Zaragoza, España
c Endocrinología y Nutrición, Hospital universitario Lozano Blesa de Zaragoza, España
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Resumen

El síndrome de Cushing es una enfermedad poco frecuente durante el embarazo, pero se asocia a complicaciones maternas y fetales graves. La etiología más frecuente durante el embarazo es el adenoma suprarrenal, y cifras de cortisol libre en orina por encima de 3 veces el límite superior de la normalidad, por lo general, indican síndrome de Cushing durante el embarazo. El tratamiento de elección es quirúrgico, y el momento ideal para la cirugía es antes del tercer trimestre.

Palabras clave:
Hipertensión secundaria
Embarazo
Adenoma suprarrenal
Hipertensión
Síndrome de Cushing
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:
Secondary hypertension
Pregnancy
Adrenocortical adenoma
Hypertension
Cushing's syndrome

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