A case of adrenocortical adenoma with primary hyperaldosteronism and subclinical Cushing's syndrome / 대한내과학회지
Korean Journal of Medicine
;
: 321-326, 2010.
Article
in Korean
| WPRIM
| ID: wpr-86084
ABSTRACT
Cases of combined primary hyperaldosteronism and subclinical Cushing's syndrome are extremely rare. We identified a left adrenocortical tumor in a 41-year-old woman by computed tomography (CT) during an evaluation for hypokalemia and hypertension. Hormonal assessment demonstrated normal aldosterone concentrations, low plasma renin activity, an increased aldosterone/renin ratio, and normal serum cortisol levels. Selective adrenal venous sampling for the determination of aldosterone concentrations showed an overfunctioning left adrenal gland. Dexamethasone (overnight 1mg, 2 mg, 8 mg) suppression tests showed insuppressible cortisol. We diagnosed the patient as having an aldosterone-producing adrenal adenoma associated with subclinical Cushing's syndrome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Plasma
/
Dexamethasone
/
Hydrocortisone
/
Adenoma
/
Renin
/
Adrenal Glands
/
Adrenocortical Adenoma
/
Cushing Syndrome
/
Aldosterone
/
Hyperaldosteronism
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2010
Type:
Article
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