Document Detail


Calcium-channel blockade can mask the diagnosis of Conn's syndrome.
MedLine Citation:
PMID:  10715768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 30-year-old woman presented with hypertension and hypokalaemia, and was found to have primary aldosteronism due to a Conn's adenoma, whose removal cured the hypertension. Before surgery, the characteristic biochemical changes which enabled the diagnosis were completely masked by administration of a calcium-channel blocker, amlodipine. It is likely that widespread use of this class of drugs contributes to under-diagnosis of Conn's syndrome as a curable cause of hypertension.
Authors:
M J Brown; R V Hopper
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  75     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  1999 Apr 
Date Detail:
Created Date:  2000-04-13     Completed Date:  2000-04-13     Revised Date:  2009-10-22    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  235-6     Citation Subset:  IM    
Affiliation:
Clinical Pharmacology Unit, University of Cambridge, Addenbrookes Hospital, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amlodipine / therapeutic use*
Biological Markers / blood
Calcium Channel Blockers / therapeutic use*
Electrolytes / blood
Female
Humans
Hyperaldosteronism / complications*,  diagnosis
Hypertension / drug therapy,  etiology*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Calcium Channel Blockers; 0/Electrolytes; 88150-42-9/Amlodipine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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