[Primary hyperaldosteronism--4 clinical cases].
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.
Nuno
L
L
Serviço de Cardiologia, Hosp. Distrital de Vila Franca de Xira.
Ribeiro
H
H
Nunes
V
V
Linder
J
J
Pereira
D
D
Carvalho
E
E
Rabaçal
C
C
Gouveia
R
R
Santos
A R
AR
Afonso
J S
JS
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
Hiperaldosteronismo primário--quatro casos clínicos.