Bronchogenic Carcinoma Associated with Severe Orthostatic Hypotension

Abstract

Case Studies1 April 1963Bronchogenic Carcinoma Associated with Severe Orthostatic HypotensionJAN K. SIEMSEN, M.D., LESTER MEISTER, M.D.JAN K. SIEMSEN, M.D., LESTER MEISTER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-4-669 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOrthostatic hypotension may be idiopathic or secondary to various diseases of the nervous system (1-5), including diabetic neuropathy, (6) or to adrenocortical insufficiency, hypokalemia, renal amyloidosis (7), and porphyria (8). In spite of the recent interest in systemic manifestations of malignant tumors (9, 10), and particularly in the various forms of carcinomatous neuropathies (11-13), only one instance of orthostatic hypotension associated with carcinoma was found in the literature (14), and in that case renal sodium wastage and hyponatremia were a prominent part of the clinical picture.Although in the following case necropsy was unobtainable, a pathogenetic relationship between tumor and...References1. SCHIRGERHINESMOLNARTHOMAS AEAGDJE: Orthostatic hypotension. Proc. Mayo Clin. 36: 239, 1961. MedlineGoogle Scholar2. THOMASSCHIRGERLOVEHOFFMAN JEAJGDL: Orthostatic hypotension as the presenting symptom in craniopharyngioma. Neurology 11: 418, 1961. CrossrefMedlineGoogle Scholar3. SHARPEY-SCHAFER EP: Circulatory reflexes in chronic diseases of the afferent nervous system. J. Physiol. 134: 1, 1956. CrossrefMedlineGoogle Scholar4. 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To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Long Beach, CaliforniaFrom the Medical Service, Veterans Administration Hospital, Long Beach, California.Requests for reprints should be addressed to Jan K. Siemsen, M.D., Veterans Administration Hospital, 5901 East Seventh Street, Long Beach 4, California. 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