Artigo Revisado por pares

Primary Aldosteronism Due to an Adrenal Carcinoma

1965; American College of Physicians; Volume: 63; Issue: 3 Linguagem: Inglês

10.7326/0003-4819-63-3-494

ISSN

1539-3704

Autores

Milton G. Crane,

Tópico(s)

Adrenal Hormones and Disorders

Resumo

Case Studies1 September 1965Primary Aldosteronism Due to an Adrenal CarcinomaMILTON G. CRANE, M.D., F.A.C.P., JOHN J. HARRIS, M.D., F.A.C.P., RAYMOND HERBER, M.D.MILTON G. CRANE, M.D., F.A.C.P.Search for more papers by this author, JOHN J. HARRIS, M.D., F.A.C.P.Search for more papers by this author, RAYMOND HERBER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-494 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPrimary aldosteronism is a syndrome characterized by hypokalemic alkalosis and hypertension. Benign adrenal cortical adenomas have been the cause of this syndrome in most of the patients reported in the literature. A few patients have had a malignancy as the cause of their defect. This is a case report of a patient with typical clinical and laboratory findings of primary aldosteronism caused by an adrenocortical carcinoma.CASE REPORTThe patient was a 64-year-old female (Figure 1) who was first seen at the White Memorial Clinic in April, 1963, for hypertension and weakness. The patient was first aware that she had...References1. CRANEHARRISHOLLOWAY MGJJJE: Exchangeable sodium and potassium in primary aldosteronism. J. Lab. Clin. Med. 61: 51, 1963. MedlineGoogle Scholar2. NEHERWETTSTEIN RA: Physicochemical estimation of aldosterone in urine. J. Clin. Invest. 35: 800, 1956. CrossrefMedlineGoogle Scholar3. HARRISCRANE JJMG: Urinary cortisol excretion as a test of adrenal cortical function. Metabolism 13: 45, 1964. CrossrefMedlineGoogle Scholar4. DREKTERHEISLERSCISMSTERNPEARSONMCGAVACK IJAGRSSTH: The determination of urinary steroids. I. The preparation of pigment-free extracts and a simplified procedure for the estimation of total 17-ketosteroids. J. Clin. 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J. 2: 473, 1957. CrossrefMedlineGoogle Scholar11. HILTONWESTERMANNBERGENCRAMPTON JGCDSSRS: Syndrome of mineralocorticoid excess due to bilateral adrenocortical hyperplasia. New Eng. J. Med. 260: 202, 1959. CrossrefMedlineGoogle Scholar12. CONN JW: Aldosteronism in man. Some clinical and climatological aspects. JAMA 183: 871, 1963. MedlineGoogle Scholar13. FOYEFEICHTMEIR LVTV: Adrenal cortical carcinoma producing solely mineralocorticoid effect. Amer. J. Med. 19: 966, 1955. CrossrefMedlineGoogle Scholar14. SPAULDINGOILLEGORNALL WBWAAG: Mineralocorticoid-like disturbance associated with adrenal metastases from a bronchogenic carcinoma. Ann. Intern. Med. 42: 444, 1955. LinkGoogle Scholar15. ZIMMERMANMORANROSENBERGKENNEDYFREY BWHJCBJRJ: Physiologic and surgical problems in the management of primary aldosteronism. Ann. Surg. 150: 653, 1959. CrossrefMedlineGoogle Scholar16. BROOKSMCSWINEYPRUNTYWOOD RVRRFTFJ: Potassium deficiency of renal and adrenal origin. Amer. J. Med. 23: 391, 1957. CrossrefMedlineGoogle Scholar17. EHRLICHDOMINGUEZSAMUELSLYNCHOBERHELMANWARNER ENOVLTDHNE: Aldosteronism and precocious puberty due to an ovarian androblastoma (Sertoli cell tumor). J. Clin. Endocr. 23: 358, 1963. CrossrefGoogle Scholar18. BARTTER FC ed.: The Clinical Use of Aldosterone Antagonists, Charles C Thomas Springfield, Ill., 1960. Google Scholar19. NORTHSIMSSAYERS JDFHEG Primary aldosteronism. The value of spirono lactone in diagnosis. Lancet 2: 618, 1961. CrossrefMedlineGoogle Scholar20. BIGLIERISLATONFORSHAM EGPEPH Useful parameters in the diagnosis of primary aldosteronism. JAMA 178: 19, 1961. CrossrefMedlineGoogle Scholar21. FEREBEEPARKERCARNESGERITYATCHLEYLOEB JWDWHMKDWRF: Certain effects of desoxycorticosterone. Amer. J. Physiol. 135: 230, 1941. CrossrefGoogle Scholar22. MULLERMACHNAEGIXI AFEH: Comparison of the effects of aldosterone and cortexone (desoxycorticosterone) on electrolyte excretion in man. Acta Endocr. 20: 113, 1955. MedlineGoogle Scholar23. ROMANIALBEAUX-FERNETCHABOTKELLERLARRIEU JDMJAH: Clinical, biological and anatomicopathologic study of case of hypermineralocorticism with peripheral edema and hypokalemia. Presse Med. 67: 1969, 1959. MedlineGoogle Scholar24. WESTKUMAGAISIMONSDOMINGUEZBERLINER CDLFELOVDL: Adrenocortical carcinoma with feminization and hypertension associated with a defect in 11β-hydroxylation. J. Clin. Endocr. 24: 567, 1964. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Department of Internal Medicine, School of Medicine, Loma Linda University, Loma Linda, Calif.This investigation was supported by research grants HE-4745 and HE-5758 and Career Development Award K3-GM-7627 from the U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to Milton G. Crane, M.D., Loma Linda University, Loma Linda, Calif. 92354. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPathophysiology, Diagnosis, and Treatment of Mineralocorticoid DisordersAldosterone-Producing Adrenocortical CarcinomaIsolated primary aldosteronism in adrenocortical carcinoma: A case report and review of literatureMineralocorticoid Excess Secondary to Adrenal Cortical CarcinomaPure primary hyperaldosteronism due to adrenal cortical carcinomaPrimary aldosteronism due to adrenal carcinomasCarcinoma of the adrenal cortex causing primary hyperaldosteronism. A case report and review of the literatureThe treatment of low-renin (“primary”) hyperaldosteronismLow-renin (“primary”) hyperaldosteronismClinical, biochemical and pathological features of low-renin (“primary”) hyperaldosteronismNeoplasms of the Adrenal CortexThe Renin-Angiotensin SystemPerspectives on the renin-angiotensin-aldosterone system in hypertensionThe use of spironolactone in the diagnosis and the treatment of hypertension associated with mineralocorticoid excessThe regulation of aldosterone secretion in primary aldosteronismAldosterone: Physiological and pathophysiological variations in manReaction of fluoroolefins with salts of thiol acidsREFERENCESThe Control of Aldosterone Secretion and Its Relationship to the Diagnosis of HyperaldosteronismPrimary adrenocortical carcinoma causing aldosteronismAdrenalectomy in Cases of Severe Renal SclerosisSurgery of the Adrenal GlandAdrenalectomy for Lesions of the Adrenal Gland 1 September 1965Volume 63, Issue 3Page: 494-503KeywordsAdenomasClinical laboratoriesCortisolExcretionHypertensionLesionsMedical servicesResearch grantsResearch laboratories Issue Published: 1 September 1965 PDF downloadLoading ...

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