A patient with high blood pressure and increased body odor is most likely suffering from which condition?

The association of high blood pressure and increased body odor in a patient is most consistent with acromegaly. This condition often results from excess growth hormone, typically due to a benign tumor on the pituitary gland. The overproduction of growth hormone leads to various systemic effects, one of which can include hypertension, as the increased growth hormone can affect cardiovascular function and lead to vasoconstriction or increased blood volume.

Increased body odor in acromegaly can arise from changes in the sweat glands and skin structure, as well as possible alterations in metabolism and secretion of body fluids. Patients may also experience changes in their sweat production, compounded by the metabolic effects of the condition.

Cushing's disease, while it can also lead to hypertension due to excess cortisol, is less commonly associated with increased body odor. Diabetes insipidus primarily affects fluid balance and would not typically lead to hypertension as a direct consequence, nor would it primarily change body odor. Hypothyroidism generally leads to lower blood pressure and often manifests with dry skin and hair rather than an increase in body odor.

Therefore, acromegaly stands out as the condition that correlates both symptoms effectively.