Ghanooni AH, KazemiJahromi M, Hosseinpanah F. Primary Hyperaldosteronism in a Normotensive Patient: A Case Report.
Int J Endocrinol Metab 2024;
22:e138703. [PMID:
38665148 PMCID:
PMC11041995 DOI:
10.5812/ijem-138703]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 10/01/2023] [Accepted: 10/30/2023] [Indexed: 04/28/2024] Open
Abstract
Introduction
Primary aldosteronism (PA) is a clinical syndrome characterized by hypertension, suppressed plasma renin activity (PRA), elevated plasma aldosterone concentration (PAC), and spontaneous hypokalemia.
Case Presentation
We present a 37-year-old normotensive female with hypokalemia, high plasma aldosterone level, and suppressed renin. The patient was treated with eplerenone and potassium chloride supplement. Further investigation with a computed tomography (CT) scan revealed a mass in the left adrenal. Laparoscopic adrenalectomy led to the diagnosis of adrenal adenoma.
Conclusions
Primary aldosteronism should be among the differential diagnoses in normotensive patients presenting with severe hypokalemia.
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