Symptomatic Hypokalemia in a 19-Year-Old Student
Language English Country Czech Republic Media print
Document type Case Reports, Journal Article
PubMed
33002402
DOI
10.14712/18059694.2020.32
PII: am_2020063030137
Knihovny.cz E-resources
- Keywords
- Conn syndrome, aldosterone-producing adenomas, hypertension, hypokalemia, primary hyperaldosteronism,
- MeSH
- Adrenocortical Adenoma * diagnostic imaging pathology MeSH
- Adrenalectomy methods MeSH
- Adrenal Cortex Neoplasms * diagnostic imaging pathology MeSH
- Alkalosis diagnosis etiology MeSH
- Hyperaldosteronism * blood diagnosis physiopathology surgery MeSH
- Hypertension * diagnosis etiology MeSH
- Hypokalemia * diagnosis etiology MeSH
- Humans MeSH
- Young Adult MeSH
- Tomography, X-Ray Computed methods MeSH
- Fatigue diagnosis etiology MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Primary hyperaldosteronism (PA) is the most common cause of secondary arterial hypertension and is frequently undiagnosed. It affects all ages but is more frequent between 20 and 60 years old. The clinical presentation is variable, and the diagnosis is based on screening and, in equivocal cases, confirmatory tests. A 19-year-old student presented with complaints of extreme fatigue, arterial hypertension, hypokalemia and metabolic alkalosis, raising a high index of suspicion for PA. Screening tests were performed and its expressiveness excluded the need of confirmatory tests. CT-scan showed a unilateral adrenal adenoma and the patient was submitted to laparoscopic adenectomy without complications. Prompt diagnosis and treatment are essential to avoid long term complications of PA.
Bombarral Family Health Unit Rua Doutor Arlindo de Carvalho nº 27 2540 073 Bombarral Portugal
Intermediate Care Unit Centro Hospitalar do Médio Ave Vila Nova de Famalicão Portugal
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