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Adrenal nodule visualised on adrenal vein catheterisation
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  1. Queenie Guinto Ngalob,
  2. Frances Lina Lantion-Ang
  1. Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines, Philippine General Hospital, Manila, Philippines
  1. Correspondence to Dr Queenie Guinto Ngalob, queenngalob{at}yahoo.com

https://doi.org/10.1136/bcr-2013-200149

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    Description

    A 36-year-old man underwent adrenal vein catheterisation to investigate the aetiology of hypertension. He had resistant hypertension as high as 220/120 despite three oral medications. He had recurrent lower extremity weakness with documented hypokalaemia as low as 2.1 mmol/L. A diagnosis of primary aldosteronism (PA) was made based on unsuppressed aldosterone of 27.7 ng/dL after 2 L of saline solution was given intravenously. A CT scan revealed a 1.1×1.5×1.3 cm well-defined …

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