The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Primary Aldosteronism—One Picture Is Not Worth a Thousand Words

William F. Young Jr., MD, MSc
[+] Article, Author, and Disclosure Information

From Mayo Clinic, Rochester, MN 55905.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: William F. Young Jr., MD, MSc, Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; e-mail, young.william@mayo.edu.

Ann Intern Med. 2009;151(5):357-358. doi:10.7326/0003-4819-151-5-200909010-00013
Text Size: A A A

Physicians often rely on imaging to guide clinical decision making. When computed tomography (CT) or magnetic resonance imaging (MRI) is used to demonstrate adrenal morphologic appearance in patients with primary aldosteronism, the images may lead to errors in clinical management. In this issue, Kempers and colleagues (1) report a systematic review of the diagnostic procedures to distinguish between unilateral and bilateral adrenal disease in patients with primary aldosteronism. Their key finding, based on 950 patients with primary aldosteronism from 38 studies, is that the adrenal morphologic appearance on CT or MRI does not accurately identify the source of aldosterone excess (1).


conn adenoma

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.