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Clinics in diagnostic imaging (113).

M T Vieira1, A F P Costa, F M Resurreição

  • 1Armed Forces Hospital (HFA), Estrada do Contorno do Bosque s/n, Brasilia-DF 70603-900, Brazil.

Singapore Medical Journal
|January 25, 2007
PubMed
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Primary hyperaldosteronism, a condition causing high blood pressure, was diagnosed in a young woman due to an adrenal tumor. Surgical removal of the aldosteronoma cured her hypertension and low potassium levels.

Area of Science:

  • Endocrinology
  • Nephrology
  • Oncology

Background:

  • Primary hyperaldosteronism is a significant cause of secondary hypertension.
  • Schistosomiasis endemic areas may present unique clinical challenges.

Observation:

  • A 27-year-old woman presented with refractory hypertension, hypokalemia, cramps, and polyuria.
  • Elevated plasma aldosterone (40.7 ng/dL) and high aldosterone/renin activity ratio (>100) suggested hyperaldosteronism.

Findings:

  • Computed tomography revealed a right adrenal mass, confirmed as an aldosteronoma post-resection.
  • The patient became asymptomatic, normokalemic, and normotensive after surgical intervention.

Implications:

  • This case highlights aldosteronoma as a curable cause of refractory hypertension.

Related Experiment Videos

  • Early diagnosis and surgical management of aldosteronoma can lead to complete recovery.
  • Considering aldosteronoma in patients with unexplained hypertension is crucial.