Perez G O, Oster J R
South Med J. 1977 Mar;70(3):363-4. doi: 10.1097/00007611-197703000-00034.
Hyperkalemic hyperchloremic metabolic acidosis developed in a patient with posttransplantation renal insufficiency presumably related to allograft rejection. The diagnosis of hyporeninemic hypoaldosteronism was confirmed by finding normal plasma cortisol levels and inappropriately low plasma renin activity and plasma aldosterone concentration in response to stimulating maneuvers.
一名移植后肾功能不全患者出现高钾性高氯性代谢性酸中毒，推测与移植肾排斥反应有关。通过检测发现血浆皮质醇水平正常，且在刺激试验后血浆肾素活性和血浆醛固酮浓度异常降低，从而确诊为低肾素性低醛固酮血症。
