Apparent mineralocorticoid excess manifested in an elderly patient with hypothyroidism.

Abstract:

:The syndrome of apparent mineralocorticoid excess (AME) is characterized by persistent hypertension and hypokalemia, which is caused by impaired inactivation of cortisol (F) to cortisone (E). The thyroid hormone has been known to influence the F to E conversion leading to efficacious inactivation of F into E. However, there have been no reports regarding the clinical manifestation of secondary AME due to hypothyroidism. Here we report an elderly patient who manifested AME, showing persistent hypertension with hypokalemia induced by primary hypothyroidism. Maintenance of euthyroid conditions ameliorated the concurrent AME and restored adrenal secretion of aldosterone after the recovery of the F to E shuttle. This case report would broaden our clinical recognition regarding acquired AME in relation to thyroid dysfunction.

journal_name

Am J Hypertens

authors

Inagaki K,Otsuka F,Otani H,Sato C,Miyoshi T,Ogura T,Makino H

doi

10.1016/j.amjhyper.2006.06.012

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

104-7; discussion 108

issue

1

eissn

0895-7061

issn

1941-7225

pii

S0895-7061(06)00470-5

journal_volume

20

pub_type

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