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[Atypical initial manifestation of primary hyperaldosteronism]
D Arnés-García1, M L Tornero-Divieso1, A Rosales-Castillo1
1Servicio de Medicina Interna, Hospital Universitario Virgen de las Nieves, Granada, España.
Hipertension Y Riesgo Vascular
|May 11, 2023
Summary
Primary hyperaldosteronism, a common cause of secondary arterial hypertension, typically presents with high blood pressure and low potassium. Rarely, it can manifest as severe muscle pain and breakdown due to extreme hypokalemia.
Area of Science:
- Endocrinology
- Nephrology
- Cardiology
Background:
- Arterial hypertension affects a significant portion of the population, with approximately 10% stemming from secondary causes.
- Primary hyperaldosteronism is a frequent secondary cause, classically presenting with hypertension, metabolic alkalosis, and hypokalemia.
Observation:
- This case highlights an atypical presentation of primary hyperaldosteronism.
- The patient experienced significant muscle weakness and myalgia.
Findings:
- These symptoms were attributed to rhabdomyolysis, a severe consequence of profound hypokalemia.
- This underscores the potential for unusual clinical manifestations in primary hyperaldosteronism.
Implications:
- Recognizing atypical presentations is crucial for timely diagnosis and management of primary hyperaldosteronism.
- Early intervention can prevent severe complications like rhabdomyolysis and associated muscle damage.
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