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A Case of Primary Aldosteronism Caused by Multiple Adrenocortical Macronodules
Internal medicine (Tokyo. 1992)
A 60-year-old man presented with drug-resistant hypertension with hypokalemia, a high plasma aldosterone concentration (PAC) and suppressed plasma rennin activity (PRA). Imaging examinations showed multiple macronodules in the left adrenal gland. Endocrinological findings demonstrated autonomous aldosterone secretion and 131 I-adosterol scintigraphy demonstrated a left sided uptake. Laparoscopic left adrenalectomy normalized serum potassium levels and PAC, and substantially improveddoi:10.2169/internalmedicine.50.4280 pmid:21422683 fatcat:7zvvosadqne55i5bpmcwzw3hqq