Rhabdomyolysis due to primary hyperaldosteronism

Rhabdomyolysis may be secondary to trauma, excessive muscle activity, hereditary muscle enzyme defects and other medical causes. Primary hyperaldosteronism is characterised by hypertension, hypokalemia, suppressed plasma renin activity, and increased aldosterone excretion. Rhabdomyolysis is not comm...

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Detalles Bibliográficos
Autores: Alfaro Martínez, José Joaquín, Lamas Oliveira, Cristina, Lomas Meneses, Amparo, Aznar Rodríguez, Silvia, Pinés Corrales, Pedro José, Hernández López, Antonio, Botella Romero, Francisco
Tipo de recurso: artículo
Fecha de publicación:2009
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/33327
Acceso en línea:https://hdl.handle.net/10578/33327
Access Level:acceso abierto
Palabra clave:Adenoma suprarrenal
Adrenal adenoma
Hiperaldosteronismo
Hyperaldosteronism
Rabdomiólisis
Rhabdomyolysis
Descripción
Sumario:Rhabdomyolysis may be secondary to trauma, excessive muscle activity, hereditary muscle enzyme defects and other medical causes. Primary hyperaldosteronism is characterised by hypertension, hypokalemia, suppressed plasma renin activity, and increased aldosterone excretion. Rhabdomyolysis is not common in primary hyperaldosteronism. We report here a 42-year-old woman presenting with rhabdomyolysis as heralding symptom of primary hyperaldosteronism. We also carried out a search of the literature to identify all cases of rhabdomyolysis as the firstrecognized expression of a primary hyperaldosteronism. Sixteen cases met the criteria for inclusion. When rhabdomyolysis occurs in a patient with hypokalemia and metabolic alkalosis, primary hyperaldosteronism has to be suspected: if confirmed, an aldosterone-producing adenoma is the most probable cause.