Adrenal insufficiens efter unilateral adrenalektomi på grund af primaer hyperaldosteronisme
Engelsk titel: Adrenal insufficiency after unilateral adrenalectomy for primary hyperaldosteronism
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Författare:
König KB
;
Krarup T
;
Lund JO
Språk: Dan
Antal referenser: 6
Dokumenttyp:
Fallbeskrivning
UI-nummer: 02011667
Sammanfattning
A case of unexpected insufficiency of the remaining adrenal gland after unilateral adrenalectomy for primary hyperaldosteronism is described. The patient recovered from the initial disease, but postoperative tests repeatedly showed insufficient response to injection of ACTH. This case raises the question of interaction between the renin-angiotensin system and the hypothalamic-pituitary-adrenal-axis. Furthermore, it stresses the importance of testing the function of the remaining a drenal gland after unilateral adrenalectomy.