Paper Information

Journal:   ACTA MEDICA IRANICA   2016 , Volume 54 , Number 2; Page(s) 156 To 158.
 
Paper: 

A WOMAN WITH NORMOTENSIVE PRIMARY HYPERALDOSTERONISM

 
 
Author(s):  MORADI SEDIGHEH*, SHAFIEPOUR MOHAMMADREZA, AMIRBAIGLOO ALIREZA
 
* INSTITUE OF ENDOCRINOLOGY AND METABOLISM, FIROUZGAR HOSPITAL, TEHRAN, IRAN
 
Abstract: 

Normotensive hyperaldosteronism is a rare disorder. It is usually diagnosed with hypokalemia or an adrenal mass. Our patient was a 27-year-old female presented with weakness. She had normal blood pressure, hypokalemia, high plasma aldosterone level and suppressed plasma renin activity. After the saline load, test aldosterone didn’t show suppression. Adrenal computed tomography revealed a left adrenal mass.
The patient was treated with spironolactone and potassium supplement. Surgical adrenalectomy was done.
Final pathologic diagnosis was benign adrenocortical adenoma without capsular invasion. In postoperative course serum, potassium was normal.

 
Keyword(s): PRIMARY HYPERALDOSTERONISM, NORMOTENSIVE, HYPOKALEMIA
 
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