Prinary aldosteronism

Abstract
The presence of "suppressed" plasma renin activity, increased urinary aldosterone excretion and normal urinary 17-hydroxy and 17-ketosteroids were demonstrated in a patient with longstanding diastolic hypertension. These findings in association with a normal serum K concentration, while ingesting a normal dietary Na intake, supported a clinical diagnosis of normokalemic primary aldosteronism which was confirmed with the surgical removal of a small adrenocortical adenoma from the left adrenal gland.

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