Primary Aldosteronism due to Unilateral Adrenal Microadenoma in an Elderly Patient: Efficacy of Selective Adrenal Venous Sampling
スポンサーリンク
概要
- 論文の詳細を見る
We encountered a case of drug-resistant hypertension and hypokalemia. Laboratory data suggested primary aldosteronism (PA). Computed tomography imaging appeared normal for a long duration with a left-sided nodule appearing far later; adrenal scintigraphy was first normal, and the second test showed right-sided uptake. However, a repeat selective adrenal venous sampling (SAVS) indicated a left-sided lateralization of the hypersecretion of aldosterone. Left adrenectomy was performed, and his clinical symptoms improved. The histopathological findings demonstrated the aldosterone-producing microadenoma with secondary micronodules. In conclusion, SAVS should be performed to determine the laterality of PA with obscure CT imaging.
- 社団法人 日本内科学会の論文
著者
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Takeda Kazuhiro
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital
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Sasano Hironobu
Department Of Anatomic Pathology Tohoku University School Of Medicine
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Chiba Yuko
Department Of Endocrinology Tokyo Metropolitan Geriatric Hospital
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Sawabe Motoji
Department Of Clinical Pathology Tokyo Metropolitan Geriatric Medical Center
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Kasuya Yutaka
Department Of Chemical Pharmacology Faculty Of Pharmaceutical Sciences The University Of Tokyo
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Mori Seijiro
Department Of Clinical Cell Biology
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Horiuchi Toshiyuki
Department Of Advanced Medicine National Center For Geriatrics And Gerontology
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Tamura Yoshiaki
Department Of Anesthesia Critical Care And Pain Medicine Massachusetts General Hospital Shriners Hos
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Ito Hideki
Department of Bioresource Science, Faculty of Agriculture, Kagawa University
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CHIBA Yuko
Department of Endocrinology, Tokyo Metropolitan Geriatric Hospital
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ARAKI ATSUSHI
Department of Diabetes, Metabolism and Endocrinology, Tokyo Metropolitan Geriatric Hospital
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HORIUCHI Toshiyuki
Department of Endocrinology, Tokyo Metropolitan Geriatric Hospital
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Murayama Takeo
Department of Human Sciences, Mukogawa Women's University
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Tamura Yoshiaki
Department of Endocrinology, Tokyo Metropolitan Geriatric Hospital
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Takeda Kazuhiro
Department of Cardiovascular Disease, Tokyo Metropolitan Geriatric Hospital
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Adachi Jun-ichiro
Department of Endocrinology, Tokyo Metropolitan Geriatric Hospital
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