Abstract |
Primary aldosteronism (PA) may be missed in patients with chronic kidney disease (CKD), because CKD may disturb the renin-angiotensin-aldosterone system. Adrenal vein sampling has increased risks in patients with CKD. We report the case of a 58-year-old man with CKD and suspected PA. Left adrenal aldosteronism was diagnosed by NP-59 SPECT/CT. Left adrenalectomy demonstrated adrenocortical nodular hyperplasia. Plasma aldosterone normalized and blood pressure stabilized after surgery. NP-59 SPECT/CT may be a helpful diagnostic tool for detecting and lateralizing PA in CKD patients.
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Authors | Yi-Chun Chen, Yu-Chieh Su, Jainn-Shiun Chiu, Chih-En Tseng |
Journal | Clinical nuclear medicine
(Clin Nucl Med)
Vol. 37
Issue 2
Pg. e30-2
(Feb 2012)
ISSN: 1536-0229 [Electronic] United States |
PMID | 22228361
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Iodine Radioisotopes
- Adosterol
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Topics |
- Adosterol
- Humans
- Hyperaldosteronism
(complications, diagnostic imaging)
- Iodine Radioisotopes
- Kidney Failure, Chronic
(complications, diagnostic imaging)
- Male
- Middle Aged
- Multimodal Imaging
- Positron-Emission Tomography
- Tomography, X-Ray Computed
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