Avtor/Urednik     Kukman, Sara; Šmid, Tina; Kocjan, Tomaž
Naslov     Poti in stranpoti pri diagnosticiranju primarnega aldosteronizma
Prevedeni naslov     Pathways and dead ends in the diagnostics of primary aldosteronism
Tip     članek
Vol. in št.     Letnik 88, št. 1/2
Leto izdaje     2019
Obseg     str. 61-70
ISSN     1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Jezik     slv
Abstrakt     We present a patient with a tumour of the left adrenal gland who has been treated for resistant hypertension and hypokalaemia for years. Primary aldosteronism was confirmed, but despite multiple attempts at adrenal vein sampling we were unable to prove unilateral disease. Treatment with mineralocorticoid receptor antagonists was not successful, however no clear indication for surgical treatment was present. Patient's clinical and laboratory characteristics pointed to unilateral disease, so he was referred for PET CT with 11-C-metomidate in the United Kingdom. Unilateral disease was confirmed, and the patient was cured by left-sided laparoscopic adrenalectomy.
Proste vsebinske oznake     adenom skorje nadledvičnice
primarni hiperaldosteronizem
arterijska hipertenzija
adrenocortical adenoma
primary hyperaldosteronism
hypertension