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A 56-year-old man with primary aldosteronism and chronic renal failure undergoing hemodialysis is described. He complained of numbness of the extremities and showed persistent hypopotassemia in spite of anuria. In the endocrinological examination, a very high plasma aldosterone concentration was observed, while plasma renin activity was within the normal range. From the abdominal Computed Tomography (CT), adrenal scintigraphy, and segmental venous sampling data, he was diagnosed as primary aldosteronism due to left adrenocortical adenoma. In this case, hypopotassemia could not be explained by potassium loss through the kidneys, which suggests potassium excretion in the gastrointestinal tract as the mechanism of hypopotassemia. This was clearly shown from a potassium-balance study and the results of spironolactone administration. Our report is on the first case showing hypopotassemia due to primary aldosteronism in spite of anuria. If a patient treated with maintenance dialysis should have persistent hypopotassemia, as in the present report, it is necessary to consider an association with primary aldosteronism.
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
January 1984,
International urology and nephrology,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
January 1980,
Nihon Jinzo Gakkai shi,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
September 1983,
Nihon Naibunpi Gakkai zasshi,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
October 2001,
Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
January 2006,
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
January 2010,
Anais brasileiros de dermatologia,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
April 2002,
Annals of nuclear medicine,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
April 1986,
Clinical pharmacology and therapeutics,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
March 2015,
Renal failure,
K Matsuda, and
K Shimamoto, and
N Ura, and
H Ogata, and
Y Shizukuda, and
M Iwakura, and
A Nozawa, and
K Kikuchi, and
O Iimura
March 2014,
Cell biochemistry and function,
