Title: Conn’s Syndrome Masquerading as Hypokalemic Paralysis
Authors: Rashmi KP, Gomathy S
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.40
Abstract
Hypertension is a globally prevalent disease with significant morbidity and mortality. While the usual presentation is non- specific, or related to end-organ symptoms like dizziness, headache, encephalopathy, cerebrovascular accident, palpitations, acute pulmonary odema, aortic dissection or renal failure, we report an atypical presentation where the patient presents to the Emergency Department with hypokalemia related weakness, and step-wise sequential evaluation lead to the detection of Secondary Hypertension, and Primary Aldosteronism due to a left Adrenal Adenoma.
References
1. Chapter 27. In: Bradley: Neurology in Clinical Practice. 5th edition, Butterworth-Heinemann, Elsevier 2008: p.366-83.
2. Chapter 15. Brenner: Brenner and Rectors The Kidney. 8th edition, Elsevier: WB Saunders, 2007.
3. Raisabanu A Vhora, Malav K Gadani et al, A Rare Case of Hypokalemic Paralysis - Conn’s Syndrome ; Indian Journal of Clinical Practice, Vol. 22, No. 12, May 2012
4. José Fernando Vilela Martin, Adriano Roberto Tarifa Vicente, Patrícia Maluf Cury et al, Conn’s Adenoma. A Cause of Hypertension and Hypokalemia; Arquivos Brasileiros de Cardiologia - Volume 83, Nº 1, Julho 2004.
5. Hsin-Hui Shao, Hock-Liew Eng, Aldosteronoma causing Conn’s syndrome: a case report and literature review; HEALTH 1 (2009) 269-273.
6. Maryam Al-Rajhi, Sahasranamaiyer Narayanan et al An unusual presentation of the Conn's syndrome: a case reportUnusual presentation of the Conn's syndrome: a case report;Medical ournal of republic of Iran;vol25, Nov 2011, pg 15-161.
7. Rajesh Rajputa, b, Bhagat Tewatiaa et al, Hypokalemic Periodic Paralysis: A Rare Presenting Manifestation of Conn’s Syndrome; J Endocrinol Metab. 2015;5(1-2):196-198.
8. Harrisons Principles of Internal Medicine. 19th edition,McGraw-Hill, 2015: chapter 278:1801-3, chapter 46:280 chapter 336:2259-62.
9. Kounatiadis P, Petroglou Det al; Primary Aldosteronism of Late Onset: A Case Report; HIPPOKRATIA 2014, 18, 2: 180-182