Juxtaglomerular tumours are rare causes of secondary hypertension. They typically present with difficult-to-manage hypertension, hypokalemia, hyperreninemia and secondary hyperaldosteronism. The authors describe a clinical case of a 45 years old female patient, with personal history of difficult-to-manage hypertension and hypokalemia since age 35, medicated with four types of anti-hypertensive agents. An analytical study was performed, which revealed secondary hyperaldosteronism [aldosterone Abdominal computed tomography scan identified a heterogeneous nodule located in the middle third of the right kidney, with 3.
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Adenoma de Conn. Relato de Caso. Foi realizado outro exame de MAPA fig. A supra-renal pesava 7,2 g e media 4,7 x 4,5 x 1,5 cm. Weinberger MH. Primary aldosteronism: diagnosis and differentiation of subtypes. Ann Intern Med ;
[Reninoma: A Rare Cause of Endocrine Hypertension]
Primary hyperaldosteronism is the primary cause of secondary hypertension. Its initial presentation has changed so that is usually manifests with normokalemia as reflection of a milder hormonal forms of the disease idiopathic bilateral adrenal hyperplasia.. We report a case of primary hyperaldosteronism in a yearold man without hypertension who presented with muscular weakness. The kalemia was 2. The diagnosis requires confirmation by a salt loading or fludrocortisone test.