A case of idiopathic hyperaldosteronism vs. bilateral aldosterone producing adenoma.
- Author:
Dong Mee LIM
1
;
Keun Yong PARK
Author Information
1. Department of Internal Medicine, College of Medicine, Konyang University, Daejon, Korea. mdldm@hanmail.net
- Publication Type:Case Report
- Keywords:
Primary aldosteronism;
Idiopathic hyperaldosteronism;
Bilateral aldosterone-producing adenoma
- MeSH:
Adenoma;
Adrenal Cortex;
Aldosterone;
Hyperaldosteronism;
Hyperplasia;
Posture
- From:Korean Journal of Medicine
2008;75(1):93-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In most cases, primary aldosteronism is due to a unilateral adrenal adenoma or bilateral hyperplasia of the adrenal cortex. However, a few bilateral adrenal tumors have also been reported in primary aldosteronism. In such cases, it is important to differentiate bilateral aldosterone-producing adenomas from bilateral adrenal hyperplasia so as to develop the optimal treatment plan. We report a case of idiopathic hyperaldosteronism due to bilateral adrenal hyperplasia that could have been misdiagnosed as a bilateral aldosterone-producing adenoma. An adrenal CT scan revealed bilateral adrenal tumors (1.5 cm [right] and 3.6 cm [left] in diameter). Idiopathic hyperaldosteronism was properly diagnosed using a posture test and selective adrenal venous sampling.
