A rare case of ACTH-independent macronodular adrenal hyperplasia associated with aldosterone-producing adenoma

Eri Hayakawa, Takanobu Yoshimoto, Kiichiro Hiraishi, Masako Kato, Hajime Izumiyama, Hironobu Sasano, Yukio Hirata

研究成果: Article査読

3 被引用数 (Scopus)

抄録

A 52-year-old man was evaluated for incidentally discovered bilateral adrenal masses. He had drugresistant hypertension but lacked Cushingoid features. Endocrinological tests revealed autonomous secretion of cortisol and aldosterone with suppressed plasma ACTH and renin activity. A selective adrenal venous sampling demonstrated aldosterone hypersecretion from the left adrenal vein. The clinical diagnosis of subclinical Cushing's syndrome due to ACTH-independent macronodular adrenal hyperplasia (AIMAH) associated with primary aldosteronism was made, and he underwent left adrenalectomy; the resected adrenal lesion was consistent with the pathological diagnosis of AIMAH coexistent with aldosterone-producing adenoma (APA). This is a very rare case of AIMAH with concomitant unilateral APA, whose hypertension improved after surgery.

本文言語English
ページ(範囲)227-232
ページ数6
ジャーナルInternal Medicine
50
3
DOI
出版ステータスPublished - 2011
外部発表はい

ASJC Scopus subject areas

  • 内科学

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