Clinical Case 6: Adult Patient with Hypertension and Gout

Abstract

Woman, 64 years old, occasional smoker at a young age (4–5 smoked cigarettes per week for 10 years), overweight since menopause (at the age of 51) and her blood pressure began to increase. Seven years ago, she was discovered to be affected by type 2 diabetes, initially controlled with diet only and then treated with metformin and glibenclamide. Initially, her hypertension was treated with enalapril 20 mg, but lately her GP added hydrochlorothiazide 25 mg 1 tablet taken at 12 noon, because of suboptimal BP control. The patient is really worried for her health, fearing about the possible long-term effects of high blood pressure and type 2 diabetes on her survival.