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Case Reports
. 2006 Nov;4(2):83-6.
doi: 10.5049/EBP.2006.4.2.83.

A case of primary aldosteronism with end stage renal disease

Hyun Hee Na  1 , Kyung Jun Park  1 , Sun Young Kim  1 , Haeng Il Koh  1
Affiliations
Case Reports

A case of primary aldosteronism with end stage renal disease

Hyun Hee Na et al. Electrolyte Blood Press. 2006 Nov.

Abstract

A 52-year-old woman was referred to our hospital due to chronic renal failure with a 10-year history of hypertension. We found polycystic kidney disease, pulmonary tuberculosis and an aldosterone-producing adrenocortical mass. At this time, her serum potassium level and blood pressure were within the normal range. She refused hemodialysis and then was hospitalized because of uremic encephalopathy. On admission, her serum potassium level was normal without treatment and plasma aldosterone concentration highly elevated. She received hemodialysis, and thereafter hypokalemia developed. We then administered spironolactone, whereupon serum potassium level returned to the normal range. In this case, we thought that normokalemia was balanced hypokalemia of primary aldosteronism with hyperkalemia of chronic renal failure, and that hypokalemia developed after hemodialysis was due to an imbalanced primary aldosteronism with end stage renal disease.

Keywords: End stage renal disease; Hemodialysis; Primary aldosteronism.

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Figures

Fig. 1
Fig. 1
Abdominopelvic computed tomography with enhancement. An inhomogenous 4.4×2.8 cm sized mass lesion is noted in right adrenal gland.
See this image and copyright information in PMC

References

    1. Conn JW. Primary aldosteronim: A new clinical syndrome. J Lab Clin Med. 1955;45:6–17. - PubMed
    1. Bravo E, Tarazi R, Dustan H, Fouad F, Textor S, Gifford R, et al. The changing clinical spectrum of primary hyperaldosteronism. Am J Med. 1983;74:641–651. - PubMed
    1. Matsuda K, Shimamoto K, Ura N, Ogata H, Shizukuda Y, Iwakura M, Nozawa A, Kikuchi K, Iimura O. A case of primary aldosteronism with chronic renal failure undergoing hemodialysis treatment. Endocrinol Jpn. 1989;36:681–686. - PubMed
    1. Nakada T, Kimura M. Primary aldosteronism associated with chronic renal failure : Report of a case. Int Urol Ntphrol. 1983;16:165–173. - PubMed
    1. Koshiyama H, Fujisawa T, Kuwamura N, Nakamura Y, Kanamori H, Oida E, Hara A, Suzuki T, Sasano H. A case of normoreninemic aldosterone-producing adenoma associated with chronic renal failure. Endocrine. 2003;21:221–226. - PubMed

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