Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report

Primary aldosteronism (PA) is the most frequent form of secondary endocrine hypertension, which is characterized by excessive aldosterone secretion and suppressed renin. The currently recommended diagnostic algorithm is very clear, and the plasma aldosterone-to-renin ratio (ARR) is considered the fi...

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Autores principales: Yang, Changqiang, Yang, Xiangyu, Wang, Si, Chen, Xiaoping, Liu, Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9655364/
https://www.ncbi.nlm.nih.gov/pubmed/36362504
http://dx.doi.org/10.3390/jcm11216276
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author Yang, Changqiang
Yang, Xiangyu
Wang, Si
Chen, Xiaoping
Liu, Kai
author_facet Yang, Changqiang
Yang, Xiangyu
Wang, Si
Chen, Xiaoping
Liu, Kai
author_sort Yang, Changqiang
collection PubMed
description Primary aldosteronism (PA) is the most frequent form of secondary endocrine hypertension, which is characterized by excessive aldosterone secretion and suppressed renin. The currently recommended diagnostic algorithm is very clear, and the plasma aldosterone-to-renin ratio (ARR) is considered the first-line screening test. However, this indicator is influenced by many factors, some of which may cause false-negative results, consequently leading to underdiagnosed PA. Here, we report the rare case of a 38-year-old man who presented with bilateral accessory renal arteries and aldosterone-producing adenoma but had a negative ARR test result.
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spelling pubmed-96553642022-11-15 Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report Yang, Changqiang Yang, Xiangyu Wang, Si Chen, Xiaoping Liu, Kai J Clin Med Case Report Primary aldosteronism (PA) is the most frequent form of secondary endocrine hypertension, which is characterized by excessive aldosterone secretion and suppressed renin. The currently recommended diagnostic algorithm is very clear, and the plasma aldosterone-to-renin ratio (ARR) is considered the first-line screening test. However, this indicator is influenced by many factors, some of which may cause false-negative results, consequently leading to underdiagnosed PA. Here, we report the rare case of a 38-year-old man who presented with bilateral accessory renal arteries and aldosterone-producing adenoma but had a negative ARR test result. MDPI 2022-10-25 /pmc/articles/PMC9655364/ /pubmed/36362504 http://dx.doi.org/10.3390/jcm11216276 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Yang, Changqiang
Yang, Xiangyu
Wang, Si
Chen, Xiaoping
Liu, Kai
Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title_full Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title_fullStr Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title_full_unstemmed Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title_short Primary Aldosteronism Masked by Accessory Renal Arteries: A Case Report
title_sort primary aldosteronism masked by accessory renal arteries: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9655364/
https://www.ncbi.nlm.nih.gov/pubmed/36362504
http://dx.doi.org/10.3390/jcm11216276
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AT yangxiangyu primaryaldosteronismmaskedbyaccessoryrenalarteriesacasereport
AT wangsi primaryaldosteronismmaskedbyaccessoryrenalarteriesacasereport
AT chenxiaoping primaryaldosteronismmaskedbyaccessoryrenalarteriesacasereport
AT liukai primaryaldosteronismmaskedbyaccessoryrenalarteriesacasereport

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