Diagnostic Approach to Patients with Primary Hyperaldosteronism
作者:
DetollenaereM.,
DuprezD.,
MissaultL.,
RubensR.,
BuyzereM. De,
VermeulenA.,
ClementD.L.,
期刊:
Acta Clinica Belgica
(Taylor Available online 1991)
卷期:
Volume 46,
issue 2
页码: 100-105
ISSN:1784-3286
年代: 1991
DOI:10.1080/17843286.1991.11718150
出版商: Taylor&Francis
数据来源: Taylor
摘要:
SummaryWe report the case of a 38-year-old patient with primary hyperaldosteronism. The diagnosis was made by the demonstration of a non-suppressible high aldosterone level in association with a hypokalemia, an inappropriate kaliuresis and low plasma renin activity. As the choice of the therapeutic approach is dictated by the subtype, further investigation was needed. Using a number of hormonal studies and noninvasive imaging techniques, we could establish the diagnosis of adrenocortical adenoma. Histological examination confirmed our diagnosis. We further discuss briefly the characteristics of the four subtypes of primary hyperaldosteronism and show that the used biochemical markers and imaging techniques are able to differentiate them.
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