Medical Management of Aldosterone-Producing Adenomas

Letters4 April 2000Medical Management of Aldosterone-Producing AdenomasRanjan P. Ghose, MD, Phillip M. Hall, MD, and Emmanuel L. Bravo, MDRanjan P. Ghose, MDCleveland Clinic Foundation; Cleveland, OH 44195 (Ghose)Cleveland Clinic Foundation; Cleveland, OH 44195 (Hall)Cleveland Clinic Foundation; Cleveland, OH 44195 (Bravo)Search for more papers by this author, Phillip M. Hall, MDCleveland Clinic Foundation; Cleveland, OH 44195 (Ghose)Cleveland Clinic Foundation; Cleveland, OH 44195 (Hall)Cleveland Clinic Foundation; Cleveland, OH 44195 (Bravo)Search for more papers by this author, and Emmanuel L. Bravo, MDCleveland Clinic Foundation; Cleveland, OH 44195 (Ghose)Cleveland Clinic Foundation; Cleveland, OH 44195 (Hall)Cleveland Clinic Foundation; Cleveland, OH 44195 (Bravo)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-132-7-200004040-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree that the results from our study were similar to those found by Ferris (1) and Brown (2) and colleagues. We were aware of these studies, but in the editing process, the word “recent” was erroneously omitted in the first sentence of the abstract. This sentence should have read: “No recent data are available … .” Our intention was not to disregard these researchers' important contribution to this field.The correspondents were also concerned about the methods for diagnosing aldosterone-producing adenoma in our patients and the accuracy with which computed tomography can diagnose these adenomas in patients ...References1. Ferris JB, Beevers DG, Boddy K, Brown JJ, Davies DL, Fraser R, et al . The treatment of low renin (primary) hyperaldosteronism. Am Heart J. 1978;96:97-109. CrossrefMedlineGoogle Scholar2. Brown JJ, Davies DL, Ferriss JB, Fraser R, Haywood E, Lever AF, et al . Comparison of surgery and prolonged spironolactone therapy in patients with hypertension, aldosterone excess and low plasma renin. Br Med J. 1972;2:729-34. CrossrefMedlineGoogle Scholar3. Doppman JL, Gill JR, Miller DL, Chang R, Gupta R, Friedman TC, et al . Distinction between hyperaldosteronism due to bilateral hyperplasia and unilateral aldosteronoma: reliability of CT. Radiology. 1992;184:677-82. CrossrefMedlineGoogle Scholar4. Blumenfeld JD, Sealey JE, Schlussel Y, Vaughan ED, Sos TA, Atlas AA, et al . Diagnosis and treatment of primary hyperaldosteronism. Ann Intern Med. 1994;121:877-85. LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Ranjan P. Ghose, MD; Phillip M. Hall, MD; Emmanuel L. Bravo, MDAffiliations: Cleveland Clinic Foundation; Cleveland, OH 44195 (Ghose)Cleveland Clinic Foundation; Cleveland, OH 44195 (Hall)Cleveland Clinic Foundation; Cleveland, OH 44195 (Bravo) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 4 April 2000Volume 132, Issue 7Page: 594KeywordsAdenomasComputed axial tomographyHypertensionPositive predictive valueSurgery ePublished: 15 August 2000 Issue Published: 4 April 2000 Copyright & PermissionsCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...