Persistent severe hyperkalemia following surgical treatment of aldosterone-producing adenoma

@article{Preda2020PersistentSH,
  title={Persistent severe hyperkalemia following surgical treatment of aldosterone-producing adenoma},
  author={Cristina Preda and Laura Claudia Teodoriu and Sarolta Placinta and Alexandru Grigorovici and Stefana Catalina Bilha and Christina Ungureanu},
  journal={Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences},
  year={2020},
  volume={25}
}
  • C. Preda, L. Teodoriu, C. Ungureanu
  • Published 20 February 2020
  • Medicine, Biology
  • Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences
Primary aldosteronism is one of the most common causes of secondary hypertension. This condition is characterized by autonomous hypersecretion of aldosterone which produces sodium retention and potassium excretion, resulting in high blood pressure and potential hypokalemia. Transient postoperative hyporeninemic hypoaldosteronism with an increased risk of hyperkalemia may occur in some patients. We report the case of a 63-year-old patient with persistent hypokalemia, periodic paralysis, and… 
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Figures and Tables from this paper

Prevalence, Subtype Classification, and Outcomes of Treatment of Primary Aldosteronism: A Prospective Study in China.
  • Fen Xu, Z. Gao, Zhou Zhou
  • Medicine
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2020
Early Renin Recovery After Adrenalectomy in Aldosterone-Producing Adenomas: A Prospective Study.
  • L. Mermejo, P. Elias, A. Moreira
  • Medicine, Biology
    Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
  • 2022
TLDR
The prospective study shows the borderline persistent post-operative hypoaldosteronism in the presence of early renin recovery indicating incapability of the zona glomerulosa of the remaining adrenal gland to produce aldosterone.

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