Quick Notes – Primary hyperaldosteronism

Primary hyperaldosteronism

Increased aldosterone

Renin suppressed

Hypokalaemia

Hypomagnesaemia

Normal/high sodium

Alkalosis

Causes:

Conn’s syndrome (adrenal adenoma)

  • Causes over 50%

Adrenal hyperplasia

Adrenal carcinoma (rare)

Isolated glucocorticoid deficiency (cortisol)

  • Therefore, ACTH increases and over produces aldosterone