Computed tomography scan can be misleading in the lateralisation of aldosterone excess
Primary aldosteronism (PA) is characterised by aldosterone hypersecretion and represents a common cause of secondary hypertension. During diagnostic evaluation, it is essential to determine the aetiology of PA since the treatment of unilateral and bilateral disease differs significantly. Adrenal v...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bioscientifica
2019-05-01
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| Series: | Endocrinology, Diabetes & Metabolism Case Reports |
| Online Access: | https://edm.bioscientifica.com/view/journals/edm/2019/1/EDM19-0018.xml |
| Summary: | Primary aldosteronism (PA) is characterised by aldosterone hypersecretion and represents a common cause of secondary
hypertension. During diagnostic evaluation, it is essential to determine the aetiology of PA since the treatment of unilateral
and bilateral disease differs significantly. Adrenal vein sampling (AVS) has been implemented as a gold standard test for
the diagnosis of PA subtype. However, due to the AVS complexity, costs and limited availability, many patients with PA are
being treated based on the computed tomography (CT) findings. In this article, we present two patients with discrepant CT
and AVS results, demonstrating that AVS is the only reliable method for localising the source of aldosterone excess. |
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| ISSN: | 2052-0573 2052-0573 |