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양 하지의 근력저하를 주소로 응급실로 내원한 원발성 알도스테론증 1 예
A case of The Primary Aldosteronism with Hypokalemic Periodic Paralysis
안력(Ryeok Ahn),김원(Won Kim),조규종(Gyu Chong Cho),홍정석(Jung Suck Hong),이미우(Mi Woo Lee),장성은(Sung Eun Jang),오세현(Se Hyun Oh),임경수(Kyoung Soo Lim)
UCI I410-ECN-0102-2009-510-003988875

Primary aldosteronism is a syndrome characterized by hypertension, hypokalemia, suppressed plasma renin activity, and elevated serum aldosterone levels. Conn first described it 1955 in association with adrenal cortical adenoma (Conn's syndrome). Today, it can be divided into at least six distinctive subgroups. The diagnosis of primary aldosteronism is usually suspected when the patient presents with poorly controlled hypertension with hypokalemia. The main issues in the evaluation of primary aldosteronism are to differentiate an adenoma from hyperplasia and to localize the adenoma. Basic hormonal studies and computed tomographic(CT) scanning can be used effectively for that differentiation. An adenoma is one of a few potentially curable forms of hypertension, and it is best treated by removing the adrenal tumor. We experienced a case of a typical adrenal adenoma. The patient was a 37-year-old male who had experienced in both his legs over a period of several days a weakness due to hypokalemia. He was diagnosed using basic hormonal studies and adrenal CT scanning. After, he received laparoscopic adrenalectomy and was discharged with improved condition.

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