Diagnosis of primary aldosteronism in chronic kidney disease by I-131 NP-59 SPECT/CT imaging.
Primary aldosteronism (PA) may be missed in patients with chronic kidney disease (CKD), because CKD may disturb the renin-angiotensin-aldosterone system. Adrenal vein sampling has increased risks in patients with CKD. We report the case of a 58-year-old man with CKD and suspected PA. Left adrenal aldosteronism was diagnosed by NP-59 SPECT/CT. Left adrenalectomy demonstrated adrenocortical nodular hyperplasia. Plasma aldosterone normalized and blood pressure stabilized after surgery. NP-59 SPECT/CT may be a helpful diagnostic tool for detecting and lateralizing PA in CKD patients.
Division of Nephrology, Department of Internal Medicine, Buddhist Dalin Tzu Chi General Hospital and School of Medicine, Tzu Chi University, Hualien, Taiwan. chenyichun0320@yahoo.com.tw
Yi-Chun
YC
Chen
Yu-Chieh
YC
Su
Jainn-Shiun
JS
Chiu
Chih-En
CE
Tseng
D000301:Adosterol; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications / Q000000981:diagnostic imaging*; D007457:Iodine Radioisotopes; D007676:Kidney Failure, Chronic / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
D007457:Iodine Radioisotopes; D000301:Adosterol