ROBERT D. ZIPSER, M.D.; PAUL F. SPECKART, M.D.
Hypokalemia and hypertension are the most important features of primary aldosteronism. In rare instances, patients with this disorder have normal serum potassium levels, but this is usually attributed to sodium restriction. Hypertension, however, has been commonly found (1-5).
We describe here the case of a patient with hypokalemia, inappropriate kaliuresis, and persistently normal blood pressure. Primary aldosteronism was diagnosed by the fludrocortisone suppression test, and spironolactone therapy normalized the electrolyte imbalance.
Hypokalemia was first documented in December 1975 in a 45-year-old black woman evaluated for depression. Depression worsened, and she was hospitalized in the summer of 1976 for 16 weeks.
Learn more about subscription options.
Register Now for a free account.
ZIPSER RD, SPECKART PF. "Normotensive" Primary Aldosteronism. Ann Intern Med. 1978;88:655-656. doi: 10.7326/0003-4819-88-5-655
Download citation file:
Published: Ann Intern Med. 1978;88(5):655-656.
Adrenal Disorders, Endocrine and Metabolism, Endocrine Cancer, Hematology/Oncology.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only