Identifying the Adrenal Lesion in Primary Aldosteronism
Authors: JAMES C. MELBY
Journal: Annals of Internal Medicine (1972)

Editorial1 June 1972Identifying the Adrenal Lesion in Primary AldosteronismJAMES C. MELBY, M.D.JAMES C. MELBY, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-76-6-1039 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAdrenal angiography has developed rapidly during the past 10 years. Selective catheterization of the arteries supplying the adrenals with injection of contrast materials offers the best chance to obtain radiographic evidence of cortisol or androgen-producing adenomas and of functioning and nonfunctioning primary adrenocortical neoplasms. Adrenal arteriography will also permit the recognition of bilateral adrenocortical hyperplasia associated with alterations in ACTH (adrenocorticotropic hormone) secretion. Both adrenal arteriography and venography are used to identify the presence of a pheochromocytoma.Small avascular aldosterone-producing adenomas (Conn's syndrome) and bilateral adrenocortical hyperplasia (idiopathic aldosteronism) resulting in the syndrome of primary aldosteronism are less easily identified...References1. KAHNKELLEHEREGDAHLMELBY PMRJ: Adrenal arteriography and venography in primary aldosteronism. Radiology 101:71-78, 1971 CrossrefMedlineGoogle Scholar2. HORTONFINCK RE: Diagnosis and localization in primary aldosteronism. Ann Intern Med 76:000-000, 1972 LinkGoogle Scholar3. NICOLISMITTYMODLINGER GHR: Percutaneous adrenal venography. A clinical study of 50 patients. Ann Intern Med 76:000-000, 1972 LinkGoogle Scholar4. SCOGGINSODDIEHARE BCW: Preoperative lateralisation of aldosterone-producing tumours in primary Aldosteronism. Ann Intern Med 76:000-000, 1972 LinkGoogle Scholar5. MELBYSPARKDALE JRS: Diagnosis and localization of aldosterone-producing adenomas by percutaneous bilateral adrenal vein catheterization. Progr Clin Cancer 4:175-184, 1970 MedlineGoogle Scholar6. ST. CYRSANCHODALE MJS: Comparative studies on peripheral and adrenal venous plasma aldosterone levels by radioimmunoassay. Unpublished Google Scholar7. CONNMORITACOHEN JRE: Primary aldosteronism. Photoscanning of tumors after administration of 131I-19-iodocholesterol. Arch Intern Med 129:417-425, 1972 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University Hospital Boston University Medical Center Boston, Mass. 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DONOHUE, M.D.Low-renin ("primary") hyperaldosteronismPrimary AldosteronismAcute unilateral adrenal hemorrhage following ACTH administration in a patient with Cushing's syndromeSolving the Adrenal Lesion(S) of Primary AldosteronismThe diagnosis and management of disorders of aldosterone productionAdrenal venography and ultrasound in the investigation of the adrenal gland: an analysis of 58 casesSurgery of the AdrenalsNeoplasms of the Adrenal CortexRemission of Cushing's disease after administration of adrenocorticotropinAntibodies to Small Molecules: Biological and Clinical ApplicationsCase 39-1972 1 June 1972Volume 76, Issue 6Page: 1039-1041KeywordsAdenomasAdrenocorticotropic hormoneAngiographyArteriesCatheterizationCortisolLesionsPheochromocytoma Issue Published: 1 June 1972 PDF downloadLoading ...