A case with primary hyperaldosteronism associated with chronic kidney disease

• DOI: 10.1016/j.radcr.2021.11.052
• Publication Date: 2021-12-16T21:37:06Z
• Authors: Vilma Cadri; Elvana Rista; Florian Toti; Bahadir Celep; Sokol Shehu; Blertina Dyrmishi; Fjolla Hyseni; Eram Ahsan; Diana Hla; Ali Guy; Samar Ikram; Abdur Rahman; Muhammad Tahir; Juna Musa
• Keywords: Secondary hypertension; Hyperaldosteronism; Primary Aldosteronism

Primary hyperaldosteronism (PA) is one of the most common causes secondary hypertension. PA may be associated with a decline in renal function. About 20% cases resistant HTN eventually cause PA, so all these patients should evaluated for PA. Herein, we present case drug-resistant hypertension and chronic kidney disease (CKD), which was Despite his low-salt diet modifications treatment several classes antihypertensive medication, he had poorly controlled blood pressure (BP). Measurements aldosterone renin raised concern Imaging confirmed bilateral adrenal hyperplasia. Due to persistently high BP, despite modification treatment, patient underwent unilateral adrenalectomy, as only feasible possibility lowering levels. After surgery, an improvement both BP values difficult diagnose CKD Arterial Hypertension because often CKD, but accounts significant percentage hypertension, screened arterial