case-presentation_76

• A 52 year-old married female, housewife, from Tehran, presented with hypertension since 6 years ago.
• She was usually well controlled initially after start medication (single beta-blocker = atenolol).
• She has had several hypertension crisis specially after emotional stress.
• she has had headache and nausea during episodes.
• no sweating, palpitation, flushing during these episodes.
• No history of weight change, weakness, easy bruising, tremor, diaphoresis, heat intolerance, hirsutism and acnea.