髓样肾钙化症和原发性高醛固酮血症--一种罕见且未得到充分认识的关联。

Journal of postgraduate medicine Pub Date : 2024-07-01 Epub Date: 2024-08-12 DOI:10.4103/jpgm.jpgm_296_24
R John, J T Johnson, R R Rajan, F Jebasingh
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引用次数: 0

摘要

摘要:髓样肾钙化症是原发性高醛固酮血症(PHA)的一种不常见表现,这种关联的确切病因仍存在争议。在此,我们报告了三例伴有髓质肾红细胞增多症的 PHA 病例,以及一名患者的髓质肾红细胞增多症是如何被误诊为肾小管性酸中毒(RTA)的。虽然 PHA 和 RTA 的症状可能重叠,但仔细评估临床表现、生化检验和影像学检查对于区分这两种疾病并确保适当的治疗至关重要。此外,了解 PHA 的这种不常见表现对于避免误诊为肾小管病变也至关重要,因为这可能会延误治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medullary nephrocalcinois and primary hyperaldosteronism - A rare and under recognised association.

Abstract: Medullary nephrocalcinosis is an uncommon manifestation of primary hyperaldosteronism (PHA) and the exact etiology of this association is still debated. Here we report three cases of PHA with medullary nephrocalcinosis and how medullary nephrocalcinosis in one patient led to misdiagnosis as renal tubular acidosis (RTA). Although PHA and RTA can share overlapping symptoms, careful evaluation of clinical presentation, biochemical tests, and imaging studies are essential to differentiate between the two conditions and ensure appropriate management. Also, awareness of this uncommon manifestation of PHA is essential to avoid misdiagnosis as tubulopathy, as this may delay the treatment.

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