Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report
Primary hyperaldosteronism is an adrenal abnormality in which there is some degree of autonomy of aldosterone secretion. We report a case of thirty three years old Javanese female presented with uncontrolled hypertension, muscular weakness, cramps and progressing shortness of breath during working...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2017-11-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://actamedindones.org/index.php/ijim/article/view/586 |
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| author | Tjokorda Gde Dalem Pemayun Ridho Naibaho Maretina W Wiyati Ardy Santosa Siti Amarwati |
| author_facet | Tjokorda Gde Dalem Pemayun Ridho Naibaho Maretina W Wiyati Ardy Santosa Siti Amarwati |
| author_sort | Tjokorda Gde Dalem Pemayun |
| collection | DOAJ |
| description | Primary hyperaldosteronism is an adrenal abnormality in which there is some degree of autonomy of aldosterone secretion. We report a case of thirty three years old Javanese female presented with uncontrolled hypertension, muscular weakness, cramps and progressing shortness of breath during working for 6 years. She had history of hypertension since age 20. Her serum potassium level was always low that associated with inappropriate kaliuresis. Blood gas analysis revealed metabolic alkalosis. Sonography of the adrenal gland showed right hipoechoic architecture; CT scan of the abdomen confirmed an right adrenal tumor measured 4 cm in its greatest dimension. Endocrine evaluation revealed high plasma aldosterone concentration, suppressed plasma renin activity, aldosterone/renin ratio of 112 and confirmed the diagnosis of primary aldosteronism. She underwent unilateral adrenalectomy. Histopathological report from excised adrenal tumor were compatible to benign adrenocortical adenoma. The patient discharge home with well controlled blood pressure and normokalemia. No clinical symptoms was reported in follow-up. |
| first_indexed | 2024-12-11T00:39:01Z |
| format | Article |
| id | doaj.art-de63a65fd37241c78a74689370e48d5c |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-12-11T00:39:01Z |
| publishDate | 2017-11-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-de63a65fd37241c78a74689370e48d5c2022-12-22T01:27:00ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322017-11-01493222Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case ReportTjokorda Gde Dalem Pemayun0Ridho Naibaho1Maretina W Wiyati2Ardy Santosa3Siti Amarwati4Department of Internal Medicine Faculty of Medicine, Diponegoro University - Dr. Kariadi Hospital Semarang, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Diponegoro University - Kariadi Hospital, Semarang, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Diponegoro University - Kariadi Hospital, Semarang, IndonesiaDepartment of Surgery, Faculty of Medicine, Diponegoro University - Kariadi Hospital, Semarang, IndonesiaDepartment of Pathology Anatomy, Faculty of Medicine, Diponegoro University - Kariadi Hospital, Semarang, IndonesiaPrimary hyperaldosteronism is an adrenal abnormality in which there is some degree of autonomy of aldosterone secretion. We report a case of thirty three years old Javanese female presented with uncontrolled hypertension, muscular weakness, cramps and progressing shortness of breath during working for 6 years. She had history of hypertension since age 20. Her serum potassium level was always low that associated with inappropriate kaliuresis. Blood gas analysis revealed metabolic alkalosis. Sonography of the adrenal gland showed right hipoechoic architecture; CT scan of the abdomen confirmed an right adrenal tumor measured 4 cm in its greatest dimension. Endocrine evaluation revealed high plasma aldosterone concentration, suppressed plasma renin activity, aldosterone/renin ratio of 112 and confirmed the diagnosis of primary aldosteronism. She underwent unilateral adrenalectomy. Histopathological report from excised adrenal tumor were compatible to benign adrenocortical adenoma. The patient discharge home with well controlled blood pressure and normokalemia. No clinical symptoms was reported in follow-up.http://actamedindones.org/index.php/ijim/article/view/586hypertensionhypokalemiahyperaldosteronismadrenalectactomyadrenocortical adenoma |
| spellingShingle | Tjokorda Gde Dalem Pemayun Ridho Naibaho Maretina W Wiyati Ardy Santosa Siti Amarwati Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report Acta Medica Indonesiana hypertension hypokalemia hyperaldosteronism adrenalectactomy adrenocortical adenoma |
| title | Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report |
| title_full | Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report |
| title_fullStr | Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report |
| title_full_unstemmed | Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report |
| title_short | Primary Hyperaldosteronism Due to Adrenocortical Adenoma: a Case Report |
| title_sort | primary hyperaldosteronism due to adrenocortical adenoma a case report |
| topic | hypertension hypokalemia hyperaldosteronism adrenalectactomy adrenocortical adenoma |
| url | http://actamedindones.org/index.php/ijim/article/view/586 |
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