title: A curious case of paralysis.
abstract: Primary hyperaldosteronism is found in up to 13% of patients with hypertension. This article describes a patient with hypokalemia, hypertension, and periodic paralysis that were caused by primary hyperaldosteronism. Plasma aldosterone concentration to plasma renin activity ratio is a common screening test, and adrenal vein sampling can be performed to determine which gland is overproducing aldosterone. Treatment with mineralocorticoid receptor antagonists or adrenalectomy gives similar reductions in BP.
authors.affiliation: Caroline Fox practices at Nephrology Associates of Waukesha in Waukesha, Wisc. The author has disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Caroline
authors.initials: C
authors.lastname: Fox
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000601:surgery; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000601:surgery; D000328:Adult; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology*; D006973:Hypertension / Q000209:etiology*; D007008:Hypokalemia / Q000209:etiology*; D008297:Male; D010243:Paralysis / Q000209:etiology*