Case 27-1966

Presentation of Case First admission. A twenty-seven-year-old woman was admitted to the hospital because of hypertension.At the age of seven years she had received x-irradiation to the thymus gland. Fourteen years before entry, at the time of an appendectomy, the blood pressure was 115 systolic, 70 diastolic, and a specimen of urine gave a trace test for protein but was otherwise normal. Two years later the menarche occurred and was followed by severe metrorrhagia that did not respond to hormonal therapy. Six years before admission she entered the hospital because of gallstones. The blood pressure was 170 systolic, . . .