Publication: Hypokalemic hypertension leading to a diagnosis of autosomal dominant polycystic kidney disease
Issued Date
2016-06-01
Resource Type
ISSN
20929935
17385997
17385997
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2-s2.0-84990942840
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Mahidol University
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SCOPUS
Bibliographic Citation
Electrolyte and Blood Pressure. Vol.14, No.1 (2016), 11-15
Suggested Citation
Wasawat Vutthikraivit, Montira Assanatham, Chutintorn Sriphrapradang Hypokalemic hypertension leading to a diagnosis of autosomal dominant polycystic kidney disease. Electrolyte and Blood Pressure. Vol.14, No.1 (2016), 11-15. doi:10.5049/EBP.2016.14.1.11 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/42995
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Title
Hypokalemic hypertension leading to a diagnosis of autosomal dominant polycystic kidney disease
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Abstract
Copyright © 2016 The Korean Society of Electrolyte Metabolism. Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited renal disease. Hypertension is common and occurs before decline in renal function. However, the coexistence of hypertension and hypokalemia is rare in ADPKD patients. We report on a 32-year-old woman with secondary aldosteronism. Magnetic resonance imaging of the renal arteries revealed multiple cysts of varying sizes in both the kidneys and the liver, compatible with ADPKD. Increased reninangiotensin-Aldosterone system activity was secondary to cyst expansion. After initiation of angiotensin II receptor blocker, her blood pressure was controlled without additional requirement of potassium.