Polycythemia with PA? Spiro causing low sodium?

[Guest guest]

Hello, Dr. Grim.I have not written in some time. I was diagnosed with PA due to hyperplasia of both adrenals. I have my BP under control with 200 mg of Spironolactone per day plus 10 mg of lisinopril. No, I do not DASH, I'm sorry to say, because I have very poor self-discipline. However, my blood tests for the past six months or so are showing low or borderline sodium levels as well as chloride levels. Other abnormalities are high hematocrit and high hemoglobin. I've been tested for polycythemia vera, but that has pretty much been ruled out. I see that early research linked Conn's syndrome to polycythemia, but I don't see much about it in the later literature. (I'm a medical librarian, so I do know how to search for these

things.)Do you think the polycythemia could be secondary to the PA?Another possibility suggested by my ENT after seeing nasal destruction, low kidney GFR rate, and other symptoms is that I have an autoimmune inflammatory disorder such as Wegener's Granulomatosis. I will be seen at s Hopkins in July for that.Just wondering whether any of these symptoms ring any bells for you. Could something like Wegener's have caused the hyperplasia of my adrenals? Supposedly it can attack any organ.I just would like to get to the bottom of it all, as I'm suffering from severe fatigue. I also have hepatitis C, which I know has recently been associated with cryoglobulimia, so perhaps I should stop looking for a magic bullet. Still I'd be interested in your

thoughts.Thanks,Frostburg, landPA, adrenal hyperplasia