MARDOQUEO I. SALOMON, M.D.; VICTOR TCHERTKOFF, M.D.
To the editor: The article by Spark and Melby in the December issue [75:831-836, 1971] on hypertension and low plasma renin activity sheds some light on the puzzling and fascinating relation between mineralocorticoids and renal function pertaining to blood pressure regulation. The authors add the statement, however, that a "high incidence of adrenal adenoma" was found at surgery in patients suspected of harboring an aldosteronoma—thus implying that the presence of adenoma would confirm the preoperative diagnosis of hypertension caused by such an adenoma.
First, strict criteria should be used for the anatomic diagnosis of adrenal adenomas, which frequently overlaps with
SALOMON MI, TCHERTKOFF V. Adrenal Adenoma and Hypertension. Ann Intern Med. ;76:668–669. doi: 10.7326/0003-4819-76-4-668_2
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Published: Ann Intern Med. 1972;76(4):668-669.
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