Coroidopatía hipertensiva y carcinoma adrenal: una nueva asociación

espanolUna paciente caucasica de 17 anos de edad acudio a nuestro servicio con disminucion de la vision; no asociaba otros sintomas en aquel momento. La exploracion oftalmologica revelo hallazgos tipicos de coroidopatia hipertensiva: manchas de Elschnig y estrias de Siegrist. El examen medico posterior revelo una tension arterial de 220/155 mm Hg y se determino que la causa subyacente de dicho trastorno era un carcinoma adrenal metastasico secretor. Este caso representa el primero descrito en el que se asocia la coroidopatia hipertensiva al carcinoma adrenal. EnglishA 17 year-old Caucasian female presented with decreased vision, with no other symptoms reported at that time. Ophthalmological examination revealed typical signs of hypertensive choroidopathy, Elschnig spots, and Siegrist streaks. Further medical examination found high blood pressure (220/155 mmHg), with a metastatic hormone-secreting adrenal carcinoma being the underlying cause of these alterations. To our knowledge, this is the first reported case of hypertensive choroidopathy associated with adrenal carcinoma.