医学
横纹肌溶解症
醛固酮增多症
代谢性碱中毒
低钾血症
肾上腺腺瘤
内科学
醛固酮
腺瘤
血压
内分泌学
胃肠病学
肾上腺功能不全
作者
Dr Kollipara Sumanth,Shruthi Ravindra,Kanthilatha Pai,Sahana Shetty
出处
期刊:Case Reports
[BMJ]
日期:2021-01-01
卷期号:14 (1): e234686-e234686
被引量:3
标识
DOI:10.1136/bcr-2020-234686
摘要
Conn’s syndrome is an important endocrine cause for secondary hypertension. Hypokalaemia paralysis and rhabdomyolysis with accelerated hypertension may be the presenting symptoms of Conn’s syndrome. Here, we present one such case of a 38-year-old woman presenting with accelerated hypertension and acute onset quadriplegia. On biochemical evaluation, she was found to have severe hypokalaemia, metabolic alkalosis and elevated creatinine phosphokinase. Further evaluation revealed an elevated aldosterone renin ratio suggestive of primary hyperaldosteronism which was localised to left adrenal adenoma on contrast-enhanced CT. Patient’s blood pressure and serum potassium levels normalised after resection of the adrenal adenoma.
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