An Adverse Pregnancy-associated Outcome due to Overlooked Primary Aldosteronism
An Adverse Pregnancy-associated Outcome due to Overlooked Primary Aldosteronism
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DOI：
10.2169/internalmedicine.53.2762
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发表时间：
2014-01-01
影响因子：
1.2
通讯作者：
Kario, Kazuomi
中科院分区：
文献类型：
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作者：
Eguchi, Kazuo;Hoshide, Satoshi;Kario, Kazuomi
一名患有难治性妊娠高血压的31岁妇女在第一次怀孕期间产下一名小于胎龄的婴儿（体重：1070克）。分娩后，她被诊断为原发性醛固酮增多症（PA），并伴有左肾上腺腺瘤。经过全面检查后，她接受了腹腔镜左肾上腺切除术，并根据病理检查确诊为醛固酮分泌腺瘤。此后，患者的高血压和低钾血症完全消失。她再次怀孕，并在妊娠第37周成功分娩了第二个婴儿（体重：2720 g），没有出现难治性高血压。继发性高血压的原因不应被忽视，即使在年轻的孕妇。
A 31-year-old woman with treatment-resistant pregnancy-induced hypertension during her first pregnancy delivered a small-for-gestational-age infant (weight: 1,070 g). After delivery, she was diagnosed with primary aldosteronism (PA) associated with a left adrenal adenoma. Following a thorough examination, she underwent laparoscopic left adrenalectomy, and the diagnosis of an aldosterone-producing adenoma was confirmed based on a pathological examination. Thereafter, the patient's hypertension and hypokalemia completely disappeared. She became pregnant again and successfully delivered her second infant at the 37th week of gestation (weight: 2,720 g) without developing treatment-resistant hypertension. Secondary causes of hypertension should not be overlooked, even in young pregnant women.