Aldosterone excess: a rare non-nephrophathic cause of hypertension in type I diabetes.
The aetiology of hypertension in type 1 diabetes is commonly due to the presence of diabetic nephrology. A rare case of hypertension in a patient with type 1 diabetes and no proteinuria is reported, where the investigation of borderline hypokalaemia allowed us to make a diagnosis of hyperaldosteronism due to bilateral adrenocortical hyperplasia. Secondary causes of hypertension should always be considered in all diabetic patients, particularly in the absence of clinical proteinuria.
Chan
N N
NN
Department of Clinical Pharmacology & Therapeutics, Chelsea & Westminster Hospital, London, UK.
Feher
M D
MD
D000311:Adrenal Glands / Q000473:pathology; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications*; D006965:Hyperplasia / Q000150:complications; D006973:Hypertension / Q000209:etiology*; D008297:Male; D008875:Middle Aged