Conns' syndrome - atypical presentations.
Primary hyperaldosteronism (Conns' syndrome) commonly presents with a combi-nation of clinical features of hypokalemia and hypertension. Atypical presentations like normo-tension, normokalemia and neurological ailments are described in few cases. We encountered two such cases, the first presenting with acute neurological complaint and second case having insig-nificant hypertension. Both the patients had a characteristic biochemical and imaging profile consistent with primary hyperaldosteronism and responded to surgical resection of adrenal adenoma.
Hari Kumar
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Department of Endocrinology, Medwin Hospitals, Chirag Ali Lane, Nampally, Hyderabad, India. hariendo@rediffmail.com
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Sangeeta
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Jha
Ratan
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Modi
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KD
D000315:Adrenalectomy / Q000379:methods; D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis* / Q000378:metabolism / Q000628:therapy; D008297:Male; D008875:Middle Aged; D000451:Mineralocorticoid Receptor Antagonists / Q000627:therapeutic use; D011188:Potassium / Q000097:blood / Q000652:urine; D017680:Potassium Compounds / Q000627:therapeutic use; D013148:Spironolactone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000451:Mineralocorticoid Receptor Antagonists; D017680:Potassium Compounds; D013148:Spironolactone; D011188:Potassium