Burke M, Papo J, Stavorovsky M, Almog C
Postgrad Med. 1984 Aug;76(2):173, 176-8.
Primary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and reduced plasma renin activity. Computed tomography and selective angiography showed a tumor in the right adrenal gland. Aldosterone-secreting adenoma of the adrenal gland was diagnosed, and right adrenalectomy was performed. At a six-month follow-up examination, the patient's blood pressure and potassium level were normal.
原发性醛固酮增多症是高血压一个潜在可治愈的病因；约1%的高血压患者患有此病。在本文报道的病例中，一名72岁男性因原发性高血压接受了13年治疗，之后出现持续性低钾血症。检查发现醛固酮水平升高，血浆肾素活性降低。计算机断层扫描和选择性血管造影显示右侧肾上腺有一个肿瘤。诊断为肾上腺分泌醛固酮的腺瘤，并进行了右侧肾上腺切除术。在六个月的随访检查中，患者的血压和血钾水平正常。
