Unilateral Adrenal Hyperplasia: A Rare Cause of Primary Aldosteronism

Autor:	Noor Ezmas Mahno, As. Nordashima, Y. Yazmin, M. Rohaizak
Rok vydání:	2021
Předmět:	Blood pressure control medicine.medical_specialty business.industry Adrenalectomy medicine.medical_treatment Metabolic alkalosis Stimulation General Medicine Hyperplasia medicine.disease Asymptomatic Lesion Primary aldosteronism Internal medicine Cardiology Medicine medicine.symptom business
Zdroj:	IIUM Medical Journal Malaysia. 20
ISSN:	2735-2285 1823-4631
DOI:	10.31436/imjm.v20i2.1449
Popis:	A 73-year-old gentleman with a background history of long-standing hypertension and hyperlipidaemia presented with one-year history of persistent asymptomatic hypokalaemia associated with metabolic alkalosis. Within a few months, the hypertension worsened, needing increasing dose of anti-hypertensive agents. Biochemical test showed an elevated aldosterone-renin ratio but the computerized tomography (CT) scan of adrenal did not show any adrenal mass. Arterial stimulation venous sampling (ASVS) lateralized the lesion to the left side. A left retroperitoneal adrenalectomy was performed with immediate reversal of hypokalaemia and improvement of blood pressure control to only single anti-hypertensive agent.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::31031e5305984d1bf61b41204feeef3b https://doi.org/10.31436/imjm.v20i2.1449 Zobrazit plný text záznamu