Endocrine Abstracts

Introduction: Adrenal venous sampling (AVS) is considered the reference standard to select patients with unilateral aldosterone producing adenoma for adrenalectomy. Recent studies debated the “mandatory” need for AVS before adrenalectomy. We report our experience from a tertiary hospital in Asia on the treatment outcomes of patients with primary aldosteronism (PA) who underwent adrenalectomy without AVS compared to those who had successful AVS....

Introduction: Hypokalemia is considered as a late manifestation of primary aldosteronism (PA), long preceded by hypertension. However, there have been reports of normotensive PA patients presenting with hypokalemia. This study aims to examine the relationship of hypokalemia and blood pressure in patients with hyperaldosteronism.Methods: A retrospective review of patients who underwent saline infusion test (SIT) from 2014 to 2016 was conducted. All patien...

Introduction: Subclinical Cushing’s syndrome (SCS) occurs in up to 12% of patients with incidentally found adrenal masses. Optimal management remains controversial. We report our experience of nine patients with SCS managed at our institution from 2007 to 2016.Methods: All patients were referred for adrenal incidentalomas (AI) and had no discriminatory clinical features of Cushing’s syndrome. SCS was defined using cortisol levels > 138 nmol...