Lin Xiao, Miao Xiaoyu, Zhu Pengli, Lin Fan
Department of VIP, Fujian Provincial Hospital, Fujian Medical University, 134 East Street, Fuzhou 350001, China.
Case Rep Endocrinol. 2017;2017:5159382. doi: 10.1155/2017/5159382. Epub 2017 Apr 2.
This study was to report a case of normotensive patient with primary aldosteronism who was admitted to our department recently. The patient was a 33-year-old male with right adrenal incidentaloma, but without any symptom. He has no history of hypertension, and blood pressure was normal when measured at multiple time points during hospitalization stay. The 24-hour ambulatory blood pressure prompted a normal blood pressure with the existence of circadian rhythm. The patient was diagnosed with primary aldosteronism by screening and confirmatory test. Due to the absence of symptom, surgery was not preferred. Blood pressure was found to be normal with the 2-month follow-up from discharge until now.
本研究旨在报告近期收治入我科的一名原发性醛固酮增多症的血压正常患者。该患者为33岁男性，有右肾上腺偶发瘤，但无任何症状。他无高血压病史，住院期间多次测量血压均正常。24小时动态血压提示血压正常且存在昼夜节律。该患者经筛查及确诊试验被诊断为原发性醛固酮增多症。由于无症状，不建议手术。自出院至今2个月的随访发现血压正常。
