Hyperaldosteronism associated with bilateral macronodular adenomas and a renal mass in the left kidney.

摘要

As first reported by Conn [1], pri-pmary aldosteronism is a syndrome characterized by hypertension, hypokalemia, suppressed plasma renin activity and increased aldoster-one secretion. Approximately two-thirds of the cases are known to be caused by an aldosterone-producing adenoma, and the remaining one-third by hyperplasia [1]. On the other hand, incidentally discovered adrenal tumors, so-called incidentalomas, have been shown to be associated with subtle autonomous cortisol production, which although insufficient to cause clinically overt Cushing's syndrome are usually considered as preclinical or subclinical Cushing's syndrome.