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一例尽管筛查检查结果正常但仍被确诊为原发性醛固酮增多症的病例。

A case of confirmed primary hyperaldosteronism diagnosed despite normal screening investigations.

作者信息

Carroll Richard, Gould Alana, Feltham Joe, Harper Simon

机构信息

Endocrine, Diabetes and Research Centre, Wellington Regional Hospital, Wellington.

Department of Radiology, Wellington Regional Hospital, Wellington.

出版信息

N Z Med J. 2017 May 12;130(1455):129-132.

Abstract

Primary hyperaldosteronism is a common cause of hypertension in the adult population. We report a case of histologically and biochemically confirmed hyperaldosteronism related to an adrenal adenoma, where initial screening and biochemical tests were potentially misleading. The case highlights the importance of clinical suspicion in the current diagnostic approach to primary hyperaldosteronism.

摘要

原发性醛固酮增多症是成人高血压的常见病因。我们报告一例经组织学和生化检查确诊的与肾上腺腺瘤相关的醛固酮增多症病例,该病例最初的筛查和生化检查可能产生误导。该病例凸显了临床怀疑在当前原发性醛固酮增多症诊断方法中的重要性。

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