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진행성 위암에서 종양 맥관형성이 예후인자로서의 가치를 가지는가?
박정우(Jeong-Woo Park),이민효(Min-Hyo Lee),주정일(Jeong-Il Joo),주영태(Young-Tae Ju),정치영(Chi-Young Jeong),하우송(Woo-Song Ha),박순태(Soon-Tae Park),최상경(Sang-Kyung Choi),홍순찬(Soon-Chan Hong),권수인(Soo-In Kwon),이영준(Young-Jo 대한외과학회 1999 Annals of Surgical Treatment and Research(ASRT) Vol.57 No.3
상염색체 우성 다낭종신에 동반된 일차성 알도스테론증 1예
정순일,이상수,김현진,이종덕,박동준,강미정,최영미,권수인,장세호,양중일 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.6
We report the case of a 34-year-old woman with autosomal dominant polycystic kidney disease associated with primary aldosteronism due to left adrenal adenoma. Although autosomal dominant polycystic kidney disease could mask hypokalemia and hypertension, refractory hypertension and hypokalemia were the clues that led to this diagnosis. The diagnosis of primary hyperaldosteronism was based on the presence of hypokalemia with excessive urinary potassium excretion and characteristic hormonal changes. Under laparoscopy, left adrenalectomy was performed. After surgery, plasma renin activity, plasma aldosterone titer, and serum potassium level normalized with only partial correction of the blood pressure. This could be explained by the persisting underlying polycystic kidney disease. We conclude that extrarenal causes in a hypertensive and hypokalemic patient with polycystic kidney disease may be ruled out.