A case of primary aldosteronism with secondary hyperparathyroidism and bilateral adrenal tumors

Endocrinology, Diabetes & Metabolism Case Reports

article

Tohru Eguchi¹  Shozo Miyauchi¹ 

[1] Department of Internal Medicine, Uwajima City Hospital

关键词: Adult;    Female;    Asian - Japanese;    Japan;    Adrenal;    Adrenal;    Aldosterone;    Mineralocorticoids;    PTH;    Hyperaldosteronism;    Conn's syndrome;    Hyperparathyroidism (secondary);    Adrenocortical adenoma;    Myasthenia;    Hypertension;    Potassium;    Calcium (serum);    PTH;    TRAP 5b;    C1NP;    Aldosterone to renin ratio;    Aldosterone (24-hour urine);    CT scan;    Cortisol (serum);    ACTH stimulation;    Immunohistochemistry;    Bone mineral density test;    Dexamethasone suppression (low dose);    Aldosterone (plasma);    Adrenalectomy;    Potassium chloride;    Radiology/Rheumatology;    Surgery;    Urology;    Unique/unexpected symptoms or presentations of a disease;    July;    2015;   

DOI  :  10.1530/EDM-15-0029

学科分类：血液学

来源: Bioscientifica Ltd.

【 摘 要 】

A 43-year-old Japanese woman was admitted to our hospital with weakness. Laboratory findings showed hypokalemia,hypocalcemia and elevation of the serum creatinine phosphokinase levels, but intact parathyroid hormone levels.Further evaluations suggested that she had primary aldosteronism (PA), secondary hyperparathyroidism and bilateraladrenal tumors. She was treated successfully by laparoscopic right adrenalectomy. This case not only serves to thediagnosis of bilateral adrenal tumors in which selective adrenal venous sampling (SAVS) proved to be useful, but alsofor physicians to be aware of secondary hyperparathyroidism and the risk of secondary osteoporosis caused by PA.

【 授权许可】

CC BY-NC-ND