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Previous Volume 356:966-968 March 1, 2007 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The Case Record discussion by Klibanski et al. (Nov. 23 issue),¹ concerning a woman with hypertension due to a cortisol-producing adrenal adenoma, illustrates that serious forms of secondary hypertension (e.g., pheochromocytoma and Cushing's syndrome) can present in an unorthodox fashion in gestation. However, the normal ranges in Table 1 of the article appear to be for nonpregnant populations. For example, a serum sodium level of 145 mmol per liter is hypernatremia during pregnancy. Increases in glomerular filtration rates and creatinine levels above 0.9 mg per deciliter are suspect; the published upper limits of 1.5 mg per deciliter . . . [Full Text of this Article]

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