October 30, 2012BMC Research NotesOpen Access

Primary hyperaldosteronism: challenges in subtype classification

View Full Paper

Ask AI

Bookmark

Population

A 29-year-old woman with primary hyperaldosteronism, uncontrolled hypertension, and spontaneous hypokalemia.

Design

Case_report

Follow-up

9 months post-operation

Authors

BLBrian T. LaydenUniversity of Illinois Urbana-Champaign AHAllison J HahrNorthwestern University DEDina M. ElarajNorthwestern University

Discussion

Member takes

Implication

May support reimaging after negative initial evaluation in primary aldosteronism; leaves open optimal surveillance protocols.

Structured PICO

Population

A 29-year-old woman with primary hyperaldosteronism, uncontrolled hypertension, and spontaneous hypokalemia (initial presentation at age 25).

Intervention

Reimaging of adrenal glands (CT) 1 year after initial negative imaging, followed by laparoscopic left adrenalectomy.

Outcome

Diagnosis of aldosterone-producing adenoma and clinical response (blood pressure and potassium levels) to adrenalectomy.

In patients with primary hyperaldosteronism and initially negative imaging or non-lateralizing adrenal venous sampling, reimaging may reveal a delayed appearance of an aldosterone-producing adenoma amenable to surgical cure.

Cite This Study

Layden et al. (2012) studied this question.

synapsesocial.com/papers/6a739fb0c68271efe978906f https://doi.org/10.1186/1756-0500-5-602

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark

Primary hyperaldosteronism: challenges in subtype classification

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Primary hyperaldosteronism: challenges in subtype classification

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider