Smith R J, Faulkner W L
J Natl Med Assoc. 1993 Oct;85(10):761-3.
Primary aldosteronism due to an adrenal tumor is rare. When found, it can be treated surgically and cured. This is a case report of a 41-year-old man with a long history of severe hypertension who complained of weakness and weight loss. Laboratory studies revealed hypokalemia and marked elevation of the serum aldosterone level. A computed tomography scan revealed a left adrenal mass that increased in size over 3 months' time. A left adrenalectomy was done, and the patient has had a dramatic decrease in his blood pressure and has returned to work.
由肾上腺肿瘤引起的原发性醛固酮增多症较为罕见。一旦发现,可通过手术治疗并治愈。这是一例病例报告,患者为一名41岁男性,有严重高血压病史,主诉乏力和体重减轻。实验室检查显示低钾血症以及血清醛固酮水平显著升高。计算机断层扫描显示左肾上腺有一肿块,其大小在3个月内有所增大。实施了左肾上腺切除术,患者血压大幅下降并已重返工作岗位。