Hiperaldosteronismo primario por hiperplasia suprarrenal unilateral con resolución quirúrgica / Primary hyperaldosteronism due to unilateral adrenal hyperplasia with surgical resolution
Hipertens. riesgo vasc
; 33(4): 155-158, oct.-dic. 2016. ilus
Article
in Es
| IBECS
| ID: ibc-157557
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La hiperplasia suprarrenal unilateral es una causa rara de hiperaldosteronismo primario (sobre un 3%) que tiene tratamiento quirúrgico. Presentamos el caso de una mujer de 50 años con hipertensión arterial refractaria en tratamiento con 7 fármacos con hiperaldosteronismo primario por hiperplasia suprarrenal unilateral, que tras suprarrenalectomía izquierda presenta curación sin necesidad de ningún fármaco antihipertensivo tras 2 años desde la cirugía. La hiperplasia suprarrenal unilateral es una entidad diferente y no es una variante asimétrica de la hiperplasia bilateral. En el estudio de pacientes con hiperaldosteronismo primario y pruebas de imagen sin presencia de adenoma suprarrenal, es un diagnóstico que hay que considerar antes de catalogar a los pacientes con hiperplasia suprarrenal bilateral y de iniciar tratamiento médico, ya que la hiperplasia unilateral tendría resolución quirúrgica
ABSTRACT
Unilateral adrenal hyperplasia is a rare cause of primary hyperaldosteronism (around a 3%) that has surgical treatment. A case of a patient with hypertension resistant to conventional therapy in treatment with 7 drugs who presented with primary hyperaldosteronism due to unilateral adrenal hyperplasia is presented. A left adrenalectomy was performed, and the patient had a good clinical response, with no need of any drug after 2 years of surgery. Unilateral adrenal hyperplasia is a different entity and it is not an asymmetric variant of the bilateral adrenal hyperplasia. In the study of patients with primary hyperaldosteronism and imaging tests with absence of adenoma is a diagnosis that must be considered before cataloguing patients with bilateral adrenal hyperplasia and start a medical treatment, because unilateral adrenal hyperplasia would have a surgical resolution
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Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Spironolactone
/
Adrenal Gland Diseases
/
Hyperaldosteronism
/
Hypertension
Limits:
Female
/
Humans
Language:
Es
Journal:
Hipertens. riesgo vasc
Year:
2016
Document type:
Article