1. [Association of renovascular hypertension and primary aldosteronism].
- Author
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Jaïdane A, Ouertani H, Dorai A, Zouaoui C, Ibrahim H, and Zidi B
- Subjects
- Adrenal Cortex Neoplasms complications, Adrenal Cortex Neoplasms diagnostic imaging, Adrenal Cortex Neoplasms surgery, Adrenalectomy, Adrenocortical Adenoma complications, Adrenocortical Adenoma diagnostic imaging, Adrenocortical Adenoma surgery, Adult, Humans, Hyperaldosteronism diagnostic imaging, Hyperaldosteronism etiology, Hyperaldosteronism surgery, Hypertension, Renovascular diagnostic imaging, Hypertension, Renovascular surgery, Male, Tomography, X-Ray Computed, Hyperaldosteronism complications, Hypertension, Renovascular etiology
- Abstract
Introduction: Renal artery stenosis is rarely associated with Conn adenoma., Case Report: 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., Conclusion: We discussed whether the association between these two entities is merely fortuitous or conversely based on a causal relationship., (Copyright © 2012. Published by Elsevier SAS.)
- Published
- 2012
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