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A Young Patient with Leg Weakness and Hypokalemia-Case Report
Elias Andrawus1, Irit Hochberg2, Zaher S Azzam1,3
1Department of Internal Medicine B, Rambam Health Care Campus, Haifa, Israel.
Abstract:
A 20-year-old female patient was admitted to hospital because of bilateral leg weakness. Laboratory investigation showed metabolic alkalosis and severe hypokalemia. Differential diagnosis included mineralocorticoid or apparent mineralocorticoid excess diseases, with a high aldosterone-to-renin ratio (ARR) after correcting hypokalemia. After confirmatory tests, imaging studies revealed a unilateral adrenocortical adenoma consistent with Conn's disease. Surgery was curative.
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