Primary aldosteronism with aldosterone-producing adrenal adenoma in a pregnant woman
| Autor: | Toshiji Iwasaka, Sonoko Okada, Hiroaki Matsubara, Yasukiyo Mori, Mitsuo Inada, Toshiko Nagata, Soichiro Fujiyama, Toshinaga Yonemoto, Katsuya Maruyama, Yukihisa Umeda, Tadashi Matsuda, Hiroya Masaki |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
medicine.medical_specialty Hypertension in Pregnancy Plasma renin activity chemistry.chemical_compound Primary aldosteronism Pregnancy Internal medicine Hyperaldosteronism Renin Internal Medicine Medicine Adrenal adenoma Humans Aldosterone business.industry Obstetrics Cesarean Section Adrenalectomy General Medicine medicine.disease Hypokalemia Adrenal Cortex Neoplasms Endocrinology chemistry Adrenocortical Adenoma Female Laparoscopy medicine.symptom business Pregnancy Complications Neoplastic Follow-Up Studies |
| Zdroj: | Internal medicine (Tokyo, Japan). 38(1) |
| ISSN: | 0918-2918 |
| Popis: | A 30-year-old pregnant woman complained of muscle weakness at 29 weeks' gestation. She was hypertensive with severe hypokalemia. Lower plasma renin activity and higher aldosterone level than the normal values in pregnancy suggested primary aldosteronism. A cesarean delivery was performed at 31 weeks' gestation because of pulmonary congestion. The neonatal course was uncomplicated. The laparoscopic adrenalectomy for a 2.0-cm right adrenal adenoma resulted in normalizing of her blood pressure and serum potassium level. Although primary aldosteronism is rare, especially during pregnancy, it should be always considered as one of etiologies of hypertension in pregnancy. |
| Databáze: | OpenAIRE |
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