Renal transplantation unveils Conn's syndrome: A case report

Primary hyperaldosteronism or Conn's syndrome is rare after renal transplantation. We present a case of a 34-year-old woman with end-stage renal disease, who had received a living renal transplant and showed persistent hypertension and hypokalemia. The common causes of hypertension after kidney...

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Bibliographic Details
Published in:Transplantation proceedings 2004-11, Vol.36 (9), p.2687-2688
Main Authors: Harzallah, K., Belhadj, R., Chatti, K., Sraeib, T., Boussema, E., Hmida, J., Manaa, J.
Format: Article
Language:English
Subjects:
Adenoma - diagnostic imaging
Adrenal Gland Neoplasms - diagnostic imaging
Adrenals. Adrenal axis. Renin-angiotensin system (diseases)
Adult
Biological and medical sciences
Endocrinopathies
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Hyperaldosteronism - diagnostic imaging
Kidney Failure, Chronic - surgery
Kidney Failure, Chronic - therapy
Kidney Transplantation
Medical sciences
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Peritoneal Dialysis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Tomography, X-Ray Computed
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Summary:Primary hyperaldosteronism or Conn's syndrome is rare after renal transplantation. We present a case of a 34-year-old woman with end-stage renal disease, who had received a living renal transplant and showed persistent hypertension and hypokalemia. The common causes of hypertension after kidney transplantation were excluded and hypokalemia persisted despite potassium supplementation and angiotensin converting enzyme inhibitors. Biochemical findings revealed extremely elevated plasma aldosteron levels, suppressed plasma renin activity, and massive urinary potassium wasting. Abdominal computerized tomography scan showed a left 25-mm adrenal nodule. Her hypertension and hypokalemia was cured by the removal of the adenoma.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2004.10.004