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Published on: September 15, 2017
Primary Hyperaldosteronism in a Normotensive Patient: A Case Report
Amir Hossein Ghanooni1, Mitra KazemiJahromi2, Farhad Hosseinpanah3
1Department of Endocrinology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Introduction:
Primary aldosteronism (PA) is a clinical syndrome characterized by hypertension, suppressed plasma renin activity (PRA), elevated plasma aldosterone concentration (PAC), and spontaneous hypokalemia.
Case Presentation:
We present a 37-year-old normotensive female with hypokalemia, high plasma aldosterone level, and suppressed renin. The patient was treated with eplerenone and potassium chloride supplement. Further investigation with a computed tomography (CT) scan revealed a mass in the left adrenal. Laparoscopic adrenalectomy led to the diagnosis of adrenal adenoma.
Conclusions:
Primary aldosteronism should be among the differential diagnoses in normotensive patients presenting with severe hypokalemia.
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