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  •  Difficulties of differential diagnosis of primary hyperaldostronism and arterial hypertension by the example of a clinical observation

    Редактор | 2019, Clinical case, Practical medicine part 17 №4. 2019 | 23 октября, 2019

    Z.A. AFANASIEVA1,2, D.P. NIKULINА1, T.L. SHARAPOV2, N.I. BARIEV2

    1Kazan State Medical Academy — Branch Campus of   RMACPE MH Russia, Kazan

    2Tatarstan Cancer Center, Kazan

     Contact details:

    Afanasieva Z.A. ― MD, Professor of the Oncology, Radiology and Palliative Medicine Department, Head of the Center for the diagnosis and treatment of patients with thyroid and other endocrine organs tumors

    Address: 36 Butlerov Str., Kazan, Russian Federation, 420012, tel. +7-917-886-29-23, e-mail: z-afanasieva@mail.ru

    A clinical observation illustrates the difficulties of differential diagnosis of adrenal aldosteroma, hypertension and neurological pathology. Using the example of the clinical observation, the importance of knowing the interrelationship between general pathophysiological mechanisms is described, as well as clinical thinking that a doctor needs to make an accurate diagnosis.

    Key words: primary hyperaldosteronism, aldosteroma, hypokalemia, arterial hypertension.

    (For citation: Afanaseva Z.A., Nikulinа D.P., Sharapov T.L., Bariev N.I. Difficulties of differential diagnosis of primary hyperaldostronism and arterial hypertension by the example of a clinical observation. Practical medicine. 2019. Vol. 17, № 4, P. 179-181)

    REFERENCES

    1. Dolgov V.V., Emanuel’ V.L., Roytman A.P. Laboratornaya diagnostika narusheniy vodno-elektrolitnogo obmena [Laboratory diagnosis of water-electrolyte metabolic disorders]. Moscow – Saint Petersburg: Triada, 2015. 104 p.
    2. Vil’yam M. Ketayl, Ronal’d A. Arni. Patofiziologiya endokrinnoy sistemy [Arnie. Pathophysiology of the endocrine system]. Moscow: Binom, 2001. 336 p.
    3. Nadeeva R.A., Kamasheva G.R., Yagfarova R.R. Primary hyperaldosteronism in the structure of arterial hypertension: the urgency of the problems. Vestnik sovremennoy klinicheskoy meditsiny, 2015, vol. 8, no. 6, p. 5 (in Russ.).
    4. Clinical recommendations of the Russian Association of Endocrinologists on the materials of the Consensus on primary hyperaldosteronism 2008. Endokrinnaya khirurgiya, 2008, no. 2 (3), pp. 6-18 (in Russ.).

    Метки: 2019, aldosteroma, Arterial hypertension, D.P. NIKULINА, hypokalemia, N.I. BARIEV, Practical medicine part 17 №4. 2019, primary hyperaldosteronism, T.L. SHARAPOV, Z.A. AFANASIEVA

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