Hypokalemic myopathy in primary aldosteronism: A case report

Wu,Chuifen; Xin,Jun; Xin,Minghua; Zou,Hai; Jing,Lie; Zhu,Caoyong; Lei,Wenhui

doi:10.3892/etm.2016.3864

December-2016 Volume 12 Issue 6

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December-2016 Volume 12 Issue 6

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Case Report

Hypokalemic myopathy in primary aldosteronism: A case report

Authors:
- Chuifen Wu
- Jun Xin
- Minghua Xin
- Hai Zou
- Lie Jing
- Caoyong Zhu
- Wenhui Lei
View Affiliations / Copyright

Affiliations: Department of Nephrology, Qingyuan People's Hospital, Lishui, Zhejiang 323000, P.R. China, Department of Urology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, Fujian 362000, P.R. China, Department of Nephrology, Lishui Hospital Affiliated to Zhejiang University, Lishui, Zhejiang 323000, P.R. China
Pages: 4064-4066
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Published online on: November 2, 2016

https://doi.org/10.3892/etm.2016.3864
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Abstract

Primary aldosteronism (PA) is a rare disorder. The majority of patients with PA present with typical features and are easily diagnosed. This disorder is usually diagnosed with hypokalemia, hypertension or an adrenal mass. However, patients with atypical symptoms may present a challenge for diagnosis and treatment. In the present study, a case of PA is described that presented with hypokalemic myopathy simulating polymyositis. The patient was a 44-year-old woman who presented with weakness and difficulty walking. The patient was initially suspected to have PM and was treated with methylprednisolone. The patient was found to have hypokalemia which persisted despite high-dose supplementation of potassium. Adrenal computed tomography revealed a right adrenal mass. Surgical adrenalectomy was conducted. The final pathological diagnosis was benign adrenocortical adenoma. The serum tests remained normal and the patient's symptoms were resolved during the 8‑month follow-up.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Hypokalemic myopathy in primary aldosteronism: A case report

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