Definition
Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone.
Alternative Names
Conn syndrome
Causes, incidence, and risk factors
Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone.
In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition.
Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50.
Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as:
- Cirrhosis of the liver
- Heart failure
- Nephrotic syndrome
Symptoms
- Fatigue
- Headache
- High blood pressure
- Intermittent paralysis
- Muscle weakness
- Numbness
Signs and tests
- Abdominal CT scan
- ECG
- Plasma aldosterone level
- Plasma renin activity
- Serum potassium level
- Urinary aldosterone
Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth.
This disease may also affect the results of the following tests:
- CO2
- Serum magnesium
- Serum sodium
- Urine potassium
- Urine sodium
Treatment
Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication.
Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include:
- Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill")
- Eplerenone (Inspra), which blocks the action of aldosterone
Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.
Endocrine glands
Adrenal gland hormone secretion
