Conns' syndrome - atypical presentations

Saudi J Kidney Dis Transpl. 2009 Mar;20(2):278-81.

Abstract

Primary hyperaldosteronism (Conns' syndrome) commonly presents with a combi-nation of clinical features of hypokalemia and hypertension. Atypical presentations like normo-tension, normokalemia and neurological ailments are described in few cases. We encountered two such cases, the first presenting with acute neurological complaint and second case having insig-nificant hypertension. Both the patients had a characteristic biochemical and imaging profile consistent with primary hyperaldosteronism and responded to surgical resection of adrenal adenoma.

Publication types

  • Case Reports

MeSH terms

  • Adrenalectomy / methods
  • Adult
  • Blood Pressure / physiology
  • Diagnosis, Differential
  • Electrocardiography
  • Follow-Up Studies
  • Humans
  • Hyperaldosteronism / diagnosis*
  • Hyperaldosteronism / metabolism
  • Hyperaldosteronism / therapy
  • Male
  • Middle Aged
  • Mineralocorticoid Receptor Antagonists / therapeutic use
  • Potassium / blood
  • Potassium / urine
  • Potassium Compounds / therapeutic use
  • Spironolactone / therapeutic use
  • Tomography, X-Ray Computed

Substances

  • Mineralocorticoid Receptor Antagonists
  • Potassium Compounds
  • Spironolactone
  • Potassium