ODP144 Cushing Syndrome and Primary Hyperaldosteronism due to Synchronic Bilateral Adrenal Adenomas with Exclusive Production of Cortisol on the Right and Aldosterone on the Left

Female patient, 37 years old, coming from China, with a history of resistant arterial hypertension since the age of 25 years old associated with spontaneous hypokalemia and classic ACTH-independent Cushing's syndrome. Radiological imaging exams showed bilateral adrenal nodules. Diagnosed primar...

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Bibliographic Details
Published in:Journal of the Endocrine Society 2022-11, Vol.6 (Supplement_1), p.A71-A71
Main Authors: Rolim, Marina Rocha, Mendonça, Berenice Bilharinho, Ledesma, Felipe, Charchar, Helaine, Srougi, Victor, Tanno, Fabio, Chambo, José Luis, Almeida, Madson Queiroz, Latronico, Ana Claudia, Fragoso, Maria Candida Villares
Format: Article
Language:English
Subjects:
Adrenal
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Summary:Female patient, 37 years old, coming from China, with a history of resistant arterial hypertension since the age of 25 years old associated with spontaneous hypokalemia and classic ACTH-independent Cushing's syndrome. Radiological imaging exams showed bilateral adrenal nodules. Diagnosed primary hyperaldosteronism (Baseline aldosterone 103ng/dL (2.5-39.2), Renin 2.7uUI/mL (4.4 - 46.1), Aldo/renin ratio 38.1 and K 3.3) and confirmed laboratory hypercortisolism (Cortisol after 1mg of dexamethasone overnight 17.9mcg/Dl (< 1.8), salivary cortisol at midnight 0.466mcg/dL (
ISSN:2472-1972
2472-1972
DOI:10.1210/jendso/bvac150.147