PRIMARY HYPERALDOSTERONISM - A CLINICAL CASE AND LITERATURE REVIEW, Nikolay Kostadinov, Tcvetelina Totomirova

Abstract: One of the most common causes of secondary hypertension is primary
hyperaldosteronism. The disease includes different subtypes, all characterized by aldosterone
overproduction by the adrenal glands. The most common forms are bilateral adrenocortical
hyperplasia (ADH) and Kohn's adenoma. The diagnosis of PA involves the following 3 steps:
- screening;
- confirmatory test;
- image diagnostics - computed tomography (CT) of adrenal glands with contrast.
The disease remains largely undiagnosed as a result of existing normokalemic forms and
insufficient demand. Here we present to the general audience a clinical case of Primary
hyperaldosteronism-adenoma of Kon. Patients with this form of the disease are referred for
surgical treatment.
Key words: primary hyperaldosteronism, Kohn's adenoma, treatment, clinical case

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