22-Year-old patient with malignant hypertension associated with primary aldosteronism

A 22-year-old male patient with no known history of hypertension was admitted to the emergency unit of the regional hospital in March 2011 with signs of pulmonary oedema and was found to have blood pressure (BP) of 220/140 mm Hg. Before hospitalization the patient reported progressive shortness of breath for 2 days. His BP was reduced by oral administration of captopril within few hours to 170/100 mm Hg. In addition, the patient was put on amlodipine 20 mg per day and bispoprolol 10 mg per day. After the patient was stabilized, he was transferred to the Department of Hypertension, Institute of Cardiology, Warsaw.