• Postgraduate medicine · Aug 1984

    Case Reports

    'Essential' hypertension with hypokalemia. Caused by aldosterone-secreting adrenal adenoma.

    • M Burke, J Papo, M Stavorovsky, and C Almog.
    • Postgrad Med. 1984 Aug 1; 76 (2): 173, 176-8.

    AbstractPrimary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and reduced plasma renin activity. Computed tomography and selective angiography showed a tumor in the right adrenal gland. Aldosterone-secreting adenoma of the adrenal gland was diagnosed, and right adrenalectomy was performed. At a six-month follow-up examination, the patient's blood pressure and potassium level were normal.

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