| A case of idiopathic hyperaldosteronism vs. bilateral aldosterone producing adenoma |
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Dong Mee Lim, Keun Yong Park |
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한림대학교 의과대학 내과학교실 강동성심병원 심혈관센터 |
| 증례 : 양측성 알도스테론 생성 선종으로 오인될 수 있었던 특발성 고알도스테론증 1예 |
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임동미.박근용, Keun Yong Park |
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| Abstract |
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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.(Korean J Med 75:93-97, 2008)
Key Words : Primary aldosteronism; Idiopathic hyperaldosteronism; Bilateral aldosterone-producing adenoma |
| Key Words:
Primary aldosteronism; Idiopathic hyperaldosteronism; Bilateral aldosterone-producing adenoma |
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