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.
Department of Clinical Pharmacology & Therapeutics, Chelsea & Westminster Hospital, London, UK.
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Chan
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Feher
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