title: [Primary hyperaldosteronism--4 clinical cases].
abstract: We describe four cases of primary hyperaldosteronism whose initial presentation was a moderate hypertension. Serum potassium and plasmatic aldosterone values were high although plasmatic renin levels were normal. The captopril test (Lyons version), abdominal CT and iodocholesterol (NP-59) scan proved useful to exclude essential hypertension. A good therapeutical results was achieved in all cases by unilateral adrenalectomy. After surgery, diagnosis was confirmed in all cases by histological studies. At one year follow-up, all patients were asymptomatic, with no hypertension without therapeutic and the serum potassium and plasmatic aldosterone and renin values were normal.
authors.affiliation: Serviço de Cardiologia, Hosp. Distrital de Vila Franca de Xira.
authors.forename: L
authors.initials: L
authors.lastname: Nuno
authors.forename: H
authors.initials: H
authors.lastname: Ribeiro
authors.forename: V
authors.initials: V
authors.lastname: Nunes
authors.forename: J
authors.initials: J
authors.lastname: Linder
authors.forename: D
authors.initials: D
authors.lastname: Pereira
authors.forename: E
authors.initials: E
authors.lastname: Carvalho
authors.forename: C
authors.initials: C
authors.lastname: Rabaçal
authors.forename: R
authors.initials: R
authors.lastname: Gouveia
authors.forename: A R
authors.initials: AR
authors.lastname: Santos
authors.forename: J S
authors.initials: JS
authors.lastname: Afonso
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000311:Adrenal Glands / Q000473:pathology; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008875:Middle Aged
vernacular_title: Hiperaldosteronismo primário--quatro casos clínicos.