International Journal of Gerontology
Volume 1, Issue 4 , Pages 168-172 , December 2007

An Unusual Cause of Hypokalemia in an Elderly Man with Hypertension

  • Hung-Chieh Wu

      Affiliations

    • Division of Nephrology, Department of Internal Medicine, Taipei, Taiwan
    • ,
  • Ping-Heng Lee

      Affiliations

    • Division of Nephrology, Department of Internal Medicine, Taipei, Taiwan
    • ,
  • Ya-Ru Lin

      Affiliations

    • Department of Neurology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Han-Hsiang Chen

      Affiliations

    • Division of Nephrology, Department of Internal Medicine, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Taipei Nursing College, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Han-Hsiang Chen, Division of Nephrology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Section 2, Chung Shan North Road, Taipei, Taiwan

,Accepted 20 October 2007.

References 

  1. Fisher ND , Williams GH . Hypertensive vascular disease . In:  Kasper DL ,  Braunwald E ,  Fauci AS ,  Hauser SL ,  Longo DL ,  Jameson JL editor. Harrison's Principles of Internal Medicine . 16th edition. New York: McGraw-Hill; 2005;p. 1463–1480
  2. Cely CM , Contreras G . Approach to the patient with hypertension, unexplained hypokalemia, and metabolic alkalosis . Am J Kidney Dis . 2001;37:E24
  3. Lin SH , Lin YF , Chen DT , Chu P , Hsu CW , Halperin ML . Laboratory tests to determine the cause of hypokalemia and paralysis . Arch Intern Med . 2004;164:1561–1566
  4. Stowasser M , Gordon RD . The aldosterone-renin ratio in screening for primary aldosteronism . Endocrinologist . 2004;14:267–276
  5. Stowasser M , Gordon RD . Prevalence and diagnostic workup of primary aldosteronism: new knowledge and new approaches . Nephrol . 2001;6:119–126
  6. Gallay BJ , Ahmad S , Xu L , Toivola B , Davidson RC . Screening for primary aldosteronism without discontinuing hypertensive medications: plasma aldosteronerenin ratio . Am J Kidney Dis . 2001;37:699–705
  7. Khosla N , Hogan D . Mineralocorticoid hypertension and hypokalemia . Semin Nephrol . 2006;26:434–440
  8. Kaplan NM . The current epidemic of primary aldosteronism: causes and consequences . J Hypertens . 2004;22:863–869
  9. Stowasser M , Gordon RD . Primary aldosteronism: learning from the study of familial varieties . J Hypertens . 2000;18:1165–1176
  10. Plouin PF , Amar L , Chatellier G . Trends in the prevalence of primary aldosteronism, aldosterone-producing adenomas, and surgically correctable aldosteronedependent hypertension . Nephrol Dial Transplant . 2004;19:774–777
  11. Stowasser M , Gordon RD , Gunasekera TG , Cowley DC , Ward G , Archibald C , et al.   High rate of detection of primary aldosteronism, including surgically treatable forms, after ‘non-selective’ screening of hypertensive patients . J Hypertens . 2003;21:2149–2157

PII: S1873-9598(08)70042-5

doi: 10.1016/S1873-9598(08)70042-5

International Journal of Gerontology
Volume 1, Issue 4 , Pages 168-172 , December 2007

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