Ganguly A, Bergstein J, Grim C E, Yum M N, Weinberger M H
Pediatrics. 1980 Mar;65(3):605-9.
Primary aldosteronism resulting from an adrenal adenoma is rare in children. An 8 1/2-year-old girl was found to have hypertension and spontaneous hypokalemia, both detected as incidental findings. Subsequent investigations revealed inappropriately elevated levels of plasma and urinary aldosterone with suppressed plasma renin activity. Adrenal vein blood sampling and venography suggested the presence of left adrenal adenoma which was confirmed at surgical exploration and pathologic examination. All the clinical and biochemical abnormalities were corrected by the adrenalectomy. The differential diagnoses of various types of hyperaldosteronism and/or hypokalemia in such a clinical setting are discussed.
由肾上腺腺瘤引起的原发性醛固酮增多症在儿童中罕见。一名8岁半女孩被发现患有高血压和自发性低钾血症，均为偶然发现。随后的检查显示血浆和尿醛固酮水平异常升高，血浆肾素活性受到抑制。肾上腺静脉血采样和静脉造影提示左肾上腺腺瘤存在，手术探查和病理检查证实了这一点。肾上腺切除术后所有临床和生化异常均得到纠正。本文讨论了在这种临床情况下各种类型醛固酮增多症和/或低钾血症的鉴别诊断。
