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本文引用的文献

1
An additional child case of an aldosterone-producing adenoma with an atypical presentation of peripheral paralysis due to hypokalemia.另外一例因低钾血症导致周围性麻痹的非典型表现的醛固酮瘤患儿病例。
J Endocrinol Invest. 2007 Nov;30(10):870-2. doi: 10.1007/BF03349230.
2
The diagnosis of primary aldosteronism and separation of two major subtypes.原发性醛固酮增多症的诊断及两种主要亚型的区分。
Arch Intern Med. 1993 Sep 27;153(18):2125-9.
3
Surgical treatment of primary hyperaldosteronism.原发性醛固酮增多症的外科治疗
Ann Surg. 1994 Apr;219(4):347-52. doi: 10.1097/00000658-199404000-00004.
4
Primary aldosteronism. Diagnostic evaluation.原发性醛固酮增多症。诊断评估。
Endocrinol Metab Clin North Am. 1988 Jun;17(2):367-95.

高醛固酮血症是康恩综合征的特征性表现吗？

Is hyperaldosteronism a pathognomonic feature of conn's syndrome?

作者信息

Nagarajan R, Kuberan K, Senthil Kumar M S, Chandrasekaran M

机构信息

Department of Endocrine Surgery, Madras Medical College, Chennai, India.

出版信息

Indian J Surg. 2010 Apr;72(2):146-8. doi: 10.1007/s12262-010-0025-4. Epub 2010 Jul 1.

DOI:10.1007/s12262-010-0025-4
PMID:23133229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3452519/
Abstract

A 10-year-old female child presented with resistant hypertension and hypokalaemia. There was no muscle weakness or periodic paralysis. The ratio of plasma aldosterone concentration to plasma renin activity was increased. MRI of the abdomen showed the right adrenal mass. The child underwent open right adrenalectomy. she had natriuresis in the postoperative period. She was normotensive without antihypertensive drugs at discharge and 2 months after surgery.

摘要

一名10岁女童出现顽固性高血压和低钾血症。无肌肉无力或周期性麻痹。血浆醛固酮浓度与血浆肾素活性之比升高。腹部MRI显示右肾上腺肿块。该患儿接受了开放性右肾上腺切除术。术后出现利钠现象。出院时及术后2个月，她在未服用抗高血压药物的情况下血压正常。