[The clinical management of misjudged adrenal venous sampling results related to aldosterone/cortisol co-secretion in a patient with primary aldosteronism]

H Y Dong; F F Wu; Y Y Liao; Y Sun; Z P Feng; Q F Li

doi:10.3760/cma.j.cn112138-20231019-00228

[The clinical management of misjudged adrenal venous sampling results related to aldosterone/cortisol co-secretion in a patient with primary aldosteronism]

Zhonghua Nei Ke Za Zhi. 2024 May 1;63(5):495-498. doi: 10.3760/cma.j.cn112138-20231019-00228.

[Article in Chinese]

Authors

H Y Dong¹, F F Wu¹, Y Y Liao², Y Sun², Z P Feng², Q F Li²

Affiliations

¹ Department of Endocrinology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
² Department of Endocrinology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

PMID: 38715488
DOI: 10.3760/cma.j.cn112138-20231019-00228

Abstract

患者女性，61岁，发现血压升高15年。原发性醛固酮增多症筛查试验及确诊试验均阳性。肾上腺CT表现为右侧低密度结节，但肾上腺静脉取血（AVS）常规分析显示左侧醛固酮优势分泌。进一步采用儿茶酚胺代谢产物校正，提示醛固酮分泌优势侧为右侧，且⁶⁸Ga-Pentixafor PET/CT证实右侧肾上腺结节代谢活性明显升高。行右侧肾上腺切除术后生化及临床达到完全缓解。最终诊断为原发性醛固酮增多症（右侧醛固酮瘤）伴亚临床库欣综合征。.

Publication types

Case Reports
English Abstract

MeSH terms

Adrenal Glands* / blood supply
Adrenal Glands* / metabolism
Adrenalectomy / methods
Aldosterone* / blood
Aldosterone* / metabolism
Cushing Syndrome / blood
Cushing Syndrome / diagnosis
Cushing Syndrome / metabolism
Female
Humans
Hydrocortisone* / blood
Hyperaldosteronism* / blood
Hyperaldosteronism* / diagnosis
Middle Aged

Substances

Aldosterone
Hydrocortisone