Hypokalemic Hypertension Leading to a Diagnosis of Autosomal Dominant Polycystic Kidney Disease.
- Author:
Wasawat VUTTHIKRAIVIT
1
;
Montira ASSANATHAM
;
Chutintorn SRIPHRAPRADANG
Author Information
- Publication Type:Case Report
- Keywords: Angiotensin receptor antagonists; Autosomal dominant polycystic kidney disease; Hyperaldosteronism; Hypertension; Hypokalemia
- MeSH: Adult; Angiotensin Receptor Antagonists; Blood Pressure; Diagnosis*; Female; Humans; Hyperaldosteronism; Hypertension*; Hypokalemia; Kidney; Liver; Magnetic Resonance Imaging; Polycystic Kidney, Autosomal Dominant*; Potassium; Receptors, Angiotensin; Renal Artery
- From:Electrolytes & Blood Pressure 2016;14(1):11-15
- CountryRepublic of Korea
- Language:English
- Abstract: Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited renal disease. Hypertension is common and occurs before decline in renal function. However, the coexistence of hypertension and hypokalemia is rare in ADPKD patients. We report on a 32-year-old woman with secondary aldosteronism. Magnetic resonance imaging of the renal arteries revealed multiple cysts of varying sizes in both the kidneys and the liver, compatible with ADPKD. Increased reninangiotensin-aldosterone system activity was secondary to cyst expansion. After initiation of angiotensin II receptor blocker, her blood pressure was controlled without additional requirement of potassium.
