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KMID : 0376119770040010135
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Medical Journal of the Red Cross Hospital
1977 Volume.4 No. 1 p.135 ~ p.143
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Primary Aldosteronism
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주관호/Joo, K.H.
송헌순/나병만/백태일/이성환/배진선/Song, H.S./Rah, B.M./Baik, T.I./Lee, S.H./Bae, J.S.
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Abstract
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A 45 years old female patient was admitted to Seoul Red Cross Hospital through the emergency room with chief complaints of severe headache, dizziness, and muscle weakness of upper and lower extremities.
Her past history was revealed hypertension for 8 years but has not been treated.
Physical examination showed -that she had hypertension, positive Trousseau´s sign, and diminished deep tendon reflex.
Urine analysis revealed protein (±) and urine pH &0.
Serum electrolyte showed K:1.8 mEq/L and Na 144,mEq/L
Blood pH was 7.44. Plasma renin activity was 14Onmg/%.
Retroperitoneal pneumogram showed enlarged. left adrenal gland.
And so under the diagnosis of primary aldosteronism, she was explored- and found to have an adenoma in the left adrenal gland.
After removal of the left adrenal gland the symptoms and signs were markedly improved.
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