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Lookup NU author(s): Nur Abdullah,
Dr Juliet Hale,
Dr Timothy Cheetham
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A 12-1/2 year-old boy presented to the Accident Department following an episode of dizziness and was found to be hypertensive. Investigations revealed primary hyperaldosteronism secondary to an adrenal adenoma (Conn's syndrome). He had normal electrolytes during the period of investigation and potassium concentrations were 4.2 mmol/l on all but one occasion. The hypertension resolved following excision of the adrenal tumour. Normokalaemia with potassium >4.0 mmol/l is very unusual in patients with Conn's syndrome and has not been described in childhood before. Primary hyperaldosteronism needs to be considered in hypertensive children even when potassium concentrations are well within the laboratory reference range.
Author(s): Abdullah N, Khawaja K, Hale J, Barrett AM, Cheetham TD
Publication type: Article
Publication status: Published
Journal: Journal of Pediatric Endocrinology & Metabolism
ISSN (print): 0334-018X
ISSN (electronic): 2191-0251
Publisher: Walter de Gruyter GmbH & Co. KG
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