title: [Association of renovascular hypertension and primary aldosteronism].
abstract: BACKGROUND
  Renal artery stenosis is rarely associated with Conn adenoma.
  
  
  METHODS
  We report a 27-year-old male patient who presented in 2001 with a severe high blood pressure associated with hypokaliemia. Radiologic investigations showed a left renal artery stenosis with agenesis of left kidney. A left nephrectomy was performed and blood pressure returned to normal with a single antihypertensive drug. Five years later, the patient again presented with severe high blood pressure. Laboratory studies revealed a low serum potassium level at 2.8 mmol/L associated with high urinary potassium excretion (84 mmol/24h) and a very high aldosterone/renin ratio (>462). Abdominal CT scan demonstrated a right adrenal mass. The patient underwent a right adrenalectomy (adenoma). Blood pressure returned to normal with a single antihypertensive. Serum potassium levels as well as aldosterone/renin ratio normalized.
  
  
  CONCLUSIONS
  We discussed whether the association between these two entities is merely fortuitous or conversely based on a causal relationship.
authors.affiliation: Service d'endocrinologie, hôpital militaire de Tunis, 1008 Montfleury, Tunis, Tunisie. drjaidane1980@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Jaïdane
authors.forename: H
authors.initials: H
authors.lastname: Ouertani
authors.forename: A
authors.initials: A
authors.lastname: Dorai
authors.forename: C
authors.initials: C
authors.lastname: Zouaoui
authors.forename: H
authors.initials: H
authors.lastname: Ibrahim
authors.forename: B
authors.initials: B
authors.lastname: Zidi
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D018246:Adrenocortical Adenoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed