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  • Title: 'Essential' hypertension with hypokalemia. Caused by aldosterone-secreting adrenal adenoma.
    Author: Burke M, Papo J, Stavorovsky M, Almog C.
    Journal: Postgrad Med; 1984 Aug; 76(2):173, 176-8. PubMed ID: 6462970.
    Abstract:
    Primary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and reduced plasma renin activity. Computed tomography and selective angiography showed a tumor in the right adrenal gland. Aldosterone-secreting adenoma of the adrenal gland was diagnosed, and right adrenalectomy was performed. At a six-month follow-up examination, the patient's blood pressure and potassium level were normal.
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