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A Normotensive Patient with Primary Aldosteronism.
Xiao Lin1, Xiaoyu Miao1, Pengli Zhu1
1Department of VIP, Fujian Provincial Hospital, Fujian Medical University, 134 East Street, Fuzhou 350001, China.
Case Reports in Endocrinology
|May 5, 2017
Summary
A normotensive patient with primary aldosteronism and adrenal incidentaloma was identified. This case highlights that primary aldosteronism can occur without hypertension, even with normal blood pressure readings.
Area of Science:
- Endocrinology
- Nephrology
- Internal Medicine
Background:
- Primary aldosteronism is a common cause of secondary hypertension.
- Adrenal incidentalomas are frequently discovered.
- Normotensive primary aldosteronism is rare.
Observation:
- A 33-year-old male presented with a right adrenal incidentaloma.
- The patient had no history of hypertension and normal blood pressure.
- 24-hour ambulatory blood pressure monitoring confirmed normal blood pressure and circadian rhythm.
Findings:
- Screening and confirmatory tests diagnosed primary aldosteronism.
- The patient remained asymptomatic and normotensive.
- Surgery was deferred due to the absence of symptoms.
Implications:
- This case expands the clinical spectrum of primary aldosteronism.
- It underscores the importance of considering primary aldosteronism in normotensive individuals with adrenal incidentalomas.
- Further research is needed to understand the prevalence and management of normotensive primary aldosteronism.
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