Nearly fatal hypokalaemia due to non-hypertensive primary hyperaldosteronism in the post partum
| Autor: | Juliana Marques-Sá, Mariana Barbosa, Vera Fernandes, Maria Joana Santos |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Adult
medicine.medical_specialty Adrenal disorder 030209 endocrinology & metabolism Hypokalemia Case Report 030204 cardiovascular system & hematology Plasma renin activity 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Hyperaldosteronism Renin medicine Adrenal insufficiency Humans Aldosterone Hydrocortisone business.industry Postpartum Period Adrenalectomy General Medicine medicine.disease Blood pressure chemistry Hypertension Spironolactone Cardiology Female business medicine.drug |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | A previously healthy postpartum 33-year-old woman was admitted at the emergency department after two episodes of syncope. In the waiting room, she collapsed, ventricular fibrillation was detected, and she was reanimated by electric cardioversion. At admission, she was conscient, with blood pressure of 102/74 mm Hg and heart rate of 78 bpm. In the laboratory workup, severe hypokalaemia was found (K+ 1.77 mEq/L). Abdominopelvic CT revealed a 27 mm nodule in the right adrenal gland. High aldosterone and low plasma renin levels were detected, and the diagnosis of primary hyperaldosteronism was made, although she never had hypertension. Posteriorly, a cosecretion of aldosterone and cortisol was found. Two months after admission, the patient remained stable with normal K+ levels under spironolactone and a right adrenalectomy was performed. The cure of primary hyperaldosteronism and a partial adrenal insufficiency were confirmed. K+ levels and blood pressure remained normal without treatment and 10 months after surgery hydrocortisone was suspended. |
| Databáze: | OpenAIRE |
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