Primary aldosteronism: Difference between revisions
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(Created page with " == Differential Diagnosis == * Bilateral adrenal hyperplasia (60%) * Adrenal adenoma, which causes [Conn syndrome] * Adrenal carcinoma (rare) * Familial hyperaldosteronism...") |
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+ | == Clinical Manifestations == |
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+ | |||
+ | * Usually asymptomatic except for hypertension and hypokalemia |
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+ | * Can have muscle cramps |
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+ | * Family history |
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+ | * Resistant hypertension |
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+ | * Adrenal incidentaloma |
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+ | * Early onset hypertension |
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+ | * High normal sodium |
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+ | * Metabolic alkalosis |
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== Differential Diagnosis == |
== Differential Diagnosis == |
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− | * Bilateral adrenal hyperplasia (60%) |
+ | * Bilateral [[adrenal hyperplasia]] (60%) |
− | * Adrenal adenoma, which causes [Conn syndrome] |
+ | * [[Adrenal adenoma]], which causes [[Conn syndrome]] |
− | * Adrenal carcinoma (rare) |
+ | * [[Adrenal carcinoma]] (rare) |
− | * Familial hyperaldosteronism |
+ | * [[Familial hyperaldosteronism]] |
+ | |||
+ | == Diagnosis == |
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+ | |||
+ | * Screening with plasma aldosterone/plasma renin ratio |
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+ | ** Done preferably in morning sample |
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+ | ** Taken in a sitting position after at least 15 minutes of rest |
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+ | ** Avoid aldosterone antagonists, ARBs, β-blockers |
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+ | * Diagnosed with: |
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+ | ** Oral salt load |
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+ | ** Saline suppression |
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+ | ** Captopril |
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+ | |||
+ | == Management == |
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+ | |||
+ | * Surgery if unilateral |
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+ | * [[Spironolactone]] if bilateral |
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[[Category:Endocrinology]] |
[[Category:Endocrinology]] |
Latest revision as of 13:50, 15 October 2021
Clinical Manifestations
- Usually asymptomatic except for hypertension and hypokalemia
- Can have muscle cramps
- Family history
- Resistant hypertension
- Adrenal incidentaloma
- Early onset hypertension
- High normal sodium
- Metabolic alkalosis
Differential Diagnosis
- Bilateral adrenal hyperplasia (60%)
- Adrenal adenoma, which causes Conn syndrome
- Adrenal carcinoma (rare)
- Familial hyperaldosteronism
Diagnosis
- Screening with plasma aldosterone/plasma renin ratio
- Done preferably in morning sample
- Taken in a sitting position after at least 15 minutes of rest
- Avoid aldosterone antagonists, ARBs, β-blockers
- Diagnosed with:
- Oral salt load
- Saline suppression
- Captopril
Management
- Surgery if unilateral
- Spironolactone if bilateral