Abstract

RODRIGUEZ, Diana María  and  PINZON, Alejandro. Aldosterone-producing adrenal adenoma. Acta Med Colomb [online]. 2014, vol.39, n.2, pp.191-195. ISSN 0120-2448.

Secondary Hypertension is more common in individuals under 30; most have renovascular etiology; endocrine etiology is exceptional; primary hyperaldosteronism is only responsible for 5-15%, Conn syndrome corresponds to 0.05-2.2 % of the hypertensive population and is one of the few potentially curable causes of hypertension, so we consider this case worthy to be revised. A 63 year old man diagnosed with hypertension 25 years ago and treated with multiple antihypertensives including minoxidil, with uncontrolled blood pressure readings, which consults to endocrinology for appearance of facial hair, is presented. Secondary hypertension was considered, and hypokalemia was found. The ratio of aldosterone and high renin, suggested the presence of hyperaldosteronism which was localized by adrenal venography. Surgical removal of the lesion confirmed the diagnosis of adrenocortical adenoma. After surgery, control of blood pressure improved and after discontinuation of minoxidil, hypertrichosis disappears. (Acta Med Colomb 2014; 39: 191-195).

Keywords : adrenal adenoma; renin; aldosterone; secondary hypertension.

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