单侧肾上腺增生性原发性醛固酮增多症的临诊应对

Approach to a patient with primary aldosteronism caused by unilateral adrenal hyperplasia

原发性醛固酮增多症,简称"原醛症",是一种常见的内分泌性高血压,其主要病因包括:醛固酮瘤和特发性醛固酮增多症。单侧肾上腺增生性原醛症作为其中一种少见类型,相关报道不多。本文通过对1例分型困难的单侧肾上腺增生性原醛症的诊治过程及临床特点进行分析,并对其诊治过程的关键点进行讨论,为原醛症的临床诊断和治疗提供一些借鉴和思路。

Primary aldosteronism is a common cause of endocrine hypertension. Aldosterone-producing adenoma and bilateral idiopathic hyperplasia are the two major subtypes of primary aldosteronism. Unilateral adrenal hyperplasia as one of the rare subtypes was seldom reported. Herein, we present in detail a patient with unilateral adrenal hyperplasia difficult to be subtyped. By discussing several key points of the diagnosis and treatment process, some useful experiences and information are provided for the clinicians.