TLDR Removing an adrenal gland tumor improved a man's blood pressure and stopped his facial hair growth.
A 63-year-old man with a 25-year history of hypertension, treated with multiple antihypertensives including minoxidil, presented with uncontrolled blood pressure and new facial hair growth. Secondary hypertension was suspected, and hypokalemia was detected. Elevated aldosterone and renin levels indicated hyperaldosteronism, which was confirmed by adrenal venography and subsequent surgical removal of an adrenocortical adenoma. Post-surgery, blood pressure control improved, and discontinuation of minoxidil led to the disappearance of hypertrichosis.
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