Journal List > Korean Circ J > v.15(3) > 1072237

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Song, Lee, Lee, Kim, Huh, and Kim: Hypertension Controlled by Adrenalectomy - A Case of Primary Aldosteronism -
Case Report
Korean Circulation Journal

Korean Circulation Journal 1985; 15(3): 551-557.

Published online: 30 September 1985

DOI: https://doi.org/10.4070/kcj.1985.15.3.551

Hypertension Controlled by Adrenalectomy - A Case of Primary Aldosteronism -

H.S. Song, M.D., S.K. Lee, M.D., B.S. Lee, M.D., C.J. Kim, M.D., K.S. Huh, M.D., M.J. Kim, M.D.

Copyright © 1985 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary aldosteronism, which is characterized by hypertension, hypokalemia and hyperaldosteronemia resulting from chronic oversecretion of aldosterone independent of normal renin-angiotensin regulatory system, is an uncommon disease in Korea. At present overall incidence of this disorder is considered to be 1-2% of all hypertensive patients.
With wide availability of technical analysis of aldosterone and renin activity, it is easy to detect the primary aldosteronism with certainty. Differential diagnosis between aldosterone-producing adenoma and idiopathic hyperaldosteronism is essential, because surgical therapy is effective only in primary aldosteronism due to adenoma.
We experienced a case of primary aldosteronism with adrenocortical adenoma, which was diagnosed by clinical data, computed tomographic scan and adrenal venogram. Surgical adrenalectomy was very successful for control of hypertension and clinical symptoms.

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