We describe a 17-year-old woman diagnosed with severe hypertension during routine follow-up after the prescription of a combined oral contraceptive pill. Initially, due to her age, the estradiol-containing contraception, and high-level sport practice, physicians suspected drug-induced hypertension. Blood tests showed hypokalemia, and further investigations revealed pseudoaldosteronism. After the exclusion of toxic causes, Liddle syndrome was suspected and confirmed by genetic testing. Optimal therapeutic management was limited by anti-doping rules. This case report emphasizes the need for an early and systematic workup for causes of secondary hypertension in young patients and underlines diagnostic and therapeutic challenges in the management of hypertension in athletes.

中文翻译：

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患有高血压和低钾血症的年轻运动员。


我们描述了一名 17 岁的女性，在开具复方口服避孕药后的常规随访中被诊断患有严重高血压。最初，由于她的年龄、含雌二醇的避孕措施和高水平的体育锻炼，医生怀疑她患有药物引起的高血压。血液检查显示低钾血症，进一步检查显示假性醛固酮增多症。在排除毒性原因后，怀疑 Liddle 综合征并通过基因检测确诊。最佳治疗管理受到反兴奋剂规则的限制。本病例报告强调了对年轻患者继发性高血压病因进行早期和系统检查的必要性，并强调了运动员高血压管理中的诊断和治疗挑战。