A Case of Primary Aldosteronism with Chronic Renal Failure Undergoing Hemodialysis Treatment.

DOI Web Site PubMed 被引用文献1件
  • MATSUDA KATSUHIRO
    The Second Department of Internal Medicine, Sapporo Medical College
  • SHIMAMOTO KAZUAKI
    The Second Department of Internal Medicine, Sapporo Medical College
  • URA NOBUYUKI
    The Second Department of Internal Medicine, Sapporo Medical College
  • OGATA HITOKO
    The Second Department of Internal Medicine, Sapporo Medical College
  • SHIZUKUDA YUKITAKA
    The Second Department of Internal Medicine, Sapporo Medical College
  • IWAKURA MASAHIRO
    The Second Department of Internal Medicine, Sapporo Medical College
  • NOZAWA AKIHIKO
    The Second Department of Internal Medicine, Sapporo Medical College
  • KIKUCHI KENJIRO
    The Second Department of Internal Medicine, Sapporo Medical College
  • IIMURA OSAMU
    The Second Department of Internal Medicine, Sapporo Medical College

この論文をさがす

抄録

A 56-year-old man with primary aldosteronism and chronic renal failure undergoing hemodialysis is described. He complained of numbness of the extremities and showed persistent hypopotassemia in spite of anuria. In the endocrinological examination, a very high plasma aldosterone concentration was observed, while plasma renin activity was within the normal range. From the abdominal Computed Tomography (CT), adrenal scintigraphy, and segmental venous sampling data, he was diagnosed as primary aldosteronism due to left adrenocortical adenoma.<BR>In this case, hypopotassemia could not be explained by potassium loss through the kidneys, which suggests potassium excretion in the gastrointestinal tract as the mechanism of hypopotassemia. This was clearly shown from a potassium-balance study and the results of spironolactone administration. Our report is on the first case showing hypopotassemia due to primary aldosteronism in spite of anuria. If a patient treated with maintenance dialysis should have persistent hypopotassemia, as in the present report, it is necessary to consider an association with primary aldosteronism.

収録刊行物

被引用文献 (1)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ