Abstract

A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Nonetheless, renin activity was low and aldosterone levels were normal. The metabolic alkalosis seen in this case was due to a rare cause, the ectopic adrenocorticotropic hormone syndrome. A literature review in the subject is presented.

Details

Title
Case report: a rare cause of metabolic alkalosis
Author
Titan, Silvia M 1 ; Gebara, Otávio CE 2 ; Callas, Silvia HV 2 ; Hoff, Ana O 3 ; Hoff, Paulo M 2 ; Galvão, PCA 2 

 Nephrology Division, Hospital das Clínicas, Sao Paulo University Medical School, Sao Paulo, Brazil 
 Hospital Sírio-Libanês, Sao Paulo, Brazil 
 Endocrinology Division, Fleury Laboratory, Sao Paulo, Brazil 
Pages
164-166
Publication year
2011
Publication date
Jun 2011
Publisher
Oxford University Press
ISSN
17530784
e-ISSN
17530792
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3170149643
Copyright
© The Author 2011. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please e-mail: [email protected]. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.