Endocrine Abstracts

A 58-year-old presented with a 19 years history of hypertension and hypokalaemia for 10 years. Her diagnostic workup confirmed autonomous hyperaldosteronism with an aldosterone of 400 pmol/l, plasma renin activity <0.2 pmol/ml per h, ratio >2000. Aldosterone failed to suppress at 430 on the saline suppression test. There was a 1.3 cm right adrenal adenoma on CT scan, Hounsfield units 21. Adrenal vein sampling showed a convincing right: left ratio aldosterone: cortisol ...