Hyperaldosteronism is a disorder in which the
Hyperaldosteronism can be primary or secondary.
Conn syndrome; Mineralocorticoid excess
Primary hyperaldosteronism is due to a problem of the adrenal glands themselves, causing them to release too much aldosterone. In contrast, with secondary hyperaldosteronism, the adrenal glands release too much aldosterone as a result of a problem elsewhere in the body. These problems can be with genes, diet, or a medical disorder such as with the heart, liver, kidneys, or high blood pressure.
Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is most common in people 30 to 50 years old.
Primary and secondary hyperaldosteronism have common symptoms, including:
Fatigue Headache Muscle weakness Numbness Paralysisthat comes and goes
Exams and Tests
Tests that may be ordered to diagnose hyperaldosteronism include:
Abdominal CT scan ECG Plasma aldosteronelevel Plasma renin activity Serum potassiumlevel Urinary aldosterone
A procedure to insert a catheter into the veins of the adrenal glands may need to be done. This helps check which of the two adrenal glands is making too much aldosterone.
This disease may also affect the results of the following tests:
Blood bicarbonate Blood magnesium Blood sodium Urine potassium Urine sodium
Primary hyperaldosteronism caused by an adrenal gland
Limiting how much salt intake and taking medicine may control the symptoms without surgery. Medicines to treat hyperaldosteronism include:
- Drugs that block the action of aldosterone
- Diuretics (water pills), which help manage fluid buildup in the body
Secondary hyperaldosteronism is treated with medicines (as described above) and limiting salt intake. Surgery is not used.
The outlook for primary hyperaldosteronism is good with early diagnosis and treatment.
The outlook for secondary hyperaldosteronism depends on the cause of the condition.
When to Contact a Medical Professional
Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism.