Guest guest Posted May 4, 2011 Report Share Posted May 4, 2011 Question This patient [click] presented with hypertension, proteinuria, and renal failure. What is the most likely diagnosis? Mycosis fungoides Wegener's granulomatosis Invasive aspergillosis Sarcoidosis Polychondritis See How Others Chose (79212 Total Responses) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2011 Report Share Posted May 4, 2011 While soccardosis can attack any organ very rare to have it in kidneys. Mostly in skin, lungs and eyes. > > > Â > >Question > >This patient[click]Â presented with hypertension, proteinuria, and renal failure. > >What is the most likely diagnosis? > >Mycosis fungoides > >Wegener's granulomatosis > >Invasive aspergillosis > >Sarcoidosis > >Polychondritis > >See How Others Chose > >(79212 Total Responses) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2011 Report Share Posted May 4, 2011 My son's aunt and grandmother has socc. And had systs on kidney where she needed to be hospitalized most of her young life, she needed a stint etc. Yes, his grandmother has it in the lungs. To: hyperaldosteronism Sent: Wed, May 4, 2011 11:12:08 PMSubject: Re: Image Challenge While soccardosis can attack any organ very rare to have it in kidneys. Mostly in skin, lungs and eyes. > > > Â > >Question> >This patient[click]Â presented with hypertension, proteinuria, and renal failure. > >What is the most likely diagnosis?> >Mycosis fungoides> >Wegener's granulomatosis> >Invasive aspergillosis> >Sarcoidosis> >Polychondritis> >See How Others Chose> >(79212 Total Responses)> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 I have posted before on here about Socc. My brother has it. I also think from what others have posted some could have socc. If it is in kidneys I would think it could look like PA. Treatment for socc very often leads to cushings's. > > > > > >  > > >Question > > >This patient[click] presented with hypertension, proteinuria, and renal > >failure. > > > > >What is the most likely diagnosis? > > >Mycosis fungoides > > >Wegener's granulomatosis > > >Invasive aspergillosis > > >Sarcoidosis > > >Polychondritis > > >See How Others Chose > > >(79212 Total Responses) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Did not see image. Potatoes oIn hilum ofLung. You did not give me all of the data. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension While soccardosis can attack any organ very rare to have it in kidneys. Mostly in skin, lungs and eyes. > > > Â > >Question > >This patient[click]Â presented with hypertension, proteinuria, and renal failure. > >What is the most likely diagnosis? > >Mycosis fungoides > >Wegener's granulomatosis > >Invasive aspergillosis > >Sarcoidosis > >Polychondritis > >See How Others Chose > >(79212 Total Responses) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Stent in kidney artery?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension My son's aunt and grandmother has socc. And had systs on kidney where she needed to be hospitalized most of her young life, she needed a stint etc. Yes, his grandmother has it in the lungs. To: hyperaldosteronism Sent: Wed, May 4, 2011 11:12:08 PMSubject: Re: Image Challenge While soccardosis can attack any organ very rare to have it in kidneys. Mostly in skin, lungs and eyes. > > > Â > >Question> >This patient[click]Â presented with hypertension, proteinuria, and renal failure. > >What is the most likely diagnosis?> >Mycosis fungoides> >Wegener's granulomatosis> >Invasive aspergillosis> >Sarcoidosis> >Polychondritis> >See How Others Chose> >(79212 Total Responses)> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 sArcoidosis. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension My son's aunt and grandmother has socc. And had systs on kidney where she needed to be hospitalized most of her young life, she needed a stint etc. Yes, his grandmother has it in the lungs. To: hyperaldosteronism Sent: Wed, May 4, 2011 11:12:08 PMSubject: Re: Image Challenge While soccardosis can attack any organ very rare to have it in kidneys. Mostly in skin, lungs and eyes. > > > Â > >Question> >This patient[click]Â presented with hypertension, proteinuria, and renal failure. > >What is the most likely diagnosis?> >Mycosis fungoides> >Wegener's granulomatosis> >Invasive aspergillosis> >Sarcoidosis> >Polychondritis> >See How Others Chose> >(79212 Total Responses)> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Not sure how it would look like PA? my guess is that it would lead to high renin. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension I have posted before on here about Socc. My brother has it. I also think from what others have posted some could have socc. If it is in kidneys I would think it could look like PA. Treatment for socc very often leads to cushings's. > > > > > >  > > >Question > > >This patient[click] presented with hypertension, proteinuria, and renal > >failure. > > > > >What is the most likely diagnosis? > > >Mycosis fungoides > > >Wegener's granulomatosis > > >Invasive aspergillosis > > >Sarcoidosis > > >Polychondritis > > >See How Others Chose > > >(79212 Total Responses) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same? > > > > > > > > > > > >  > > > > >Question > > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > > > > > > >What is the most likely diagnosis? > > > > >Mycosis fungoides > > > > >Wegener's granulomatosis > > > > >Invasive aspergillosis > > > > >Sarcoidosis > > > > >Polychondritis > > > > >See How Others Chose > > > > >(79212 Total Responses) > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same? > > > > > > > > > > > >  > > > > >Question > > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > > > > > > >What is the most likely diagnosis? > > > > >Mycosis fungoides > > > > >Wegener's granulomatosis > > > > >Invasive aspergillosis > > > > >Sarcoidosis > > > > >Polychondritis > > > > >See How Others Chose > > > > >(79212 Total Responses) > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Would seem this information from Medline would indicate Sx being somewhat the same. Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact Us Search MedlinePlus Health Topics Drugs & Supplements Videos & Cool Tools ESPAÑOL Hyperaldosteronism - primary and secondary URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone. Causes Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50. Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as: Cirrhosis of the liver Heart failure Nephrotic syndrome Symptoms Fatigue Headache High blood pressure Intermittent paralysis Muscle weakness Numbness Exams and Tests Abdominal CT scan ECG Plasma aldosterone level Plasma renin activity Serum potassium level Urinary aldosterone Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests: CO2 Serum magnesium Serum sodium Urine potassium Urine sodium Treatment Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include: Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill") Eplerenone (Inspra), which blocks the action of aldosterone Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment. Outlook (Prognosis) The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition. Possible Complications Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon. When to Contact a Medical Professional Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism. Alternative Names Conn syndrome Update Date: 7/25/2009 Updated by: , MD, Endocrinology Specialist and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Browse the Encyclopedia MedlinePlus Topics Adrenal Gland Disorders Images Endocrine glands Adrenal gland hormone secretion Read More Aldosterone Comprehensive metabolic panel Erection problems Gynecomastia A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited. Mobile versionGet email updatesSubscribe to RSSFollow us on Twitter DisclaimersCopyrightPrivacyAccessibilityQuality GuidelinesU.S. National Library of Medicine8600 Rockville Pike, Bethesda, MD 20894U.S. Department of Health and Human ServicesNational Institutes of HealthPage last updated: 02 May 2011 > > > > > > > > > > > > > > > > > > ÃÆ'‚Â > > > > > > >Question> > > > > > >This patient[click]ÃÆ'‚Â presented with hypertension, proteinuria, and renal > > > > > >failure. > > > > > >> > > > > > >What is the most likely diagnosis?> > > > > > >Mycosis fungoides> > > > > > >Wegener's granulomatosis> > > > > > >Invasive aspergillosis> > > > > > >Sarcoidosis> > > > > > >Polychondritis> > > > > > >See How Others Chose> > > > > > >(79212 Total Responses)> > > > > >> > > > >> > > > > > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 My father has this as well. I thought perhaps I had it and it would explain the renal scarring, lung nodules, but I guess not. However, noone ever tested me, just looked at me like a deer in headlights when I asked about it. I guess it is somewhat hereditary. My dad has it in Lungs. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible. To: hyperaldosteronism Sent: Thursday, May 5, 2011 11:30 AMSubject: Re: Re: Image Challenge Would seem this information from Medline would indicate Sx being somewhat the same. Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact Us Search MedlinePlus Health Topics Drugs & Supplements Videos & Cool Tools ESPAÑOL Hyperaldosteronism - primary and secondary URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone. Causes Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50. Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as: Cirrhosis of the liver Heart failure Nephrotic syndrome Symptoms Fatigue Headache High blood pressure Intermittent paralysis Muscle weakness Numbness Exams and Tests Abdominal CT scan ECG Plasma aldosterone level Plasma renin activity Serum potassium level Urinary aldosterone Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests: CO2 Serum magnesium Serum sodium Urine potassium Urine sodium Treatment Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include: Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill") Eplerenone (Inspra), which blocks the action of aldosterone Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment. Outlook (Prognosis) The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition. Possible Complications Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon. When to Contact a Medical Professional Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism. Alternative Names Conn syndrome Update Date: 7/25/2009 Updated by: , MD, Endocrinology Specialist and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Browse the Encyclopedia MedlinePlus Topics Adrenal Gland Disorders Images Endocrine glands Adrenal gland hormone secretion Read More Aldosterone Comprehensive metabolic panel Erection problems Gynecomastia A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited. Mobile versionGet email updatesSubscribe to RSSFollow us on Twitter DisclaimersCopyrightPrivacyAccessibilityQuality GuidelinesU.S. National Library of Medicine8600 Rockville Pike, Bethesda, MD 20894U.S. Department of Health and Human ServicesNational Institutes of HealthPage last updated: 02 May 2011 > > > > > > > > > > > > > > > > > > ÃÆ'‚Â > > > > > > >Question> > > > > > >This patient[click]ÃÆ'‚Â presented with hypertension, proteinuria, and renal > > > > > >failure. > > > > > >> > > > > > >What is the most likely diagnosis?> > > > > > >Mycosis fungoides> > > > > > >Wegener's granulomatosis> > > > > > >Invasive aspergillosis> > > > > > >Sarcoidosis> > > > > > >Polychondritis> > > > > > >See How Others Chose> > > > > > >(79212 Total Responses)> > > > > >> > > > >> > > > > > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 More likely environmental as I recall. I assume u and ur dad had different exposures during life time. Also more common in South they say. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension My father has this as well. I thought perhaps I had it and it would explain the renal scarring, lung nodules, but I guess not. However, noone ever tested me, just looked at me like a deer in headlights when I asked about it. I guess it is somewhat hereditary. My dad has it in Lungs. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible. To: hyperaldosteronism Sent: Thursday, May 5, 2011 11:30 AMSubject: Re: Re: Image Challenge Would seem this information from Medline would indicate Sx being somewhat the same. Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact Us Search MedlinePlus Health Topics Drugs & Supplements Videos & Cool Tools ESPAÑOL Hyperaldosteronism - primary and secondary URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone. Causes Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50. Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as: Cirrhosis of the liver Heart failure Nephrotic syndrome Symptoms Fatigue Headache High blood pressure Intermittent paralysis Muscle weakness Numbness Exams and Tests Abdominal CT scan ECG Plasma aldosterone level Plasma renin activity Serum potassium level Urinary aldosterone Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests: CO2 Serum magnesium Serum sodium Urine potassium Urine sodium Treatment Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include: Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill") Eplerenone (Inspra), which blocks the action of aldosterone Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment. Outlook (Prognosis) The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition. Possible Complications Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon. When to Contact a Medical Professional Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism. Alternative Names Conn syndrome Update Date: 7/25/2009 Updated by: , MD, Endocrinology Specialist and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 You are so right Again. my son's Grandmother and Aunt are from Charlotte NC. To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 4:03:14 PMSubject: Re: Re: Image Challenge More likely environmental as I recall. I assume u and ur dad had different exposures during life time. Also more common in South they say. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension My father has this as well. I thought perhaps I had it and it would explain the renal scarring, lung nodules, but I guess not. However, noone ever tested me, just looked at me like a deer in headlights when I asked about it. I guess it is somewhat hereditary. My dad has it in Lungs. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible. To: hyperaldosteronism Sent: Thursday, May 5, 2011 11:30 AMSubject: Re: Re: Image Challenge Would seem this information from Medline would indicate Sx being somewhat the same. Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact Us Search MedlinePlus Health Topics Drugs & Supplements Videos & Cool Tools ESPAÑOL Hyperaldosteronism - primary and secondary URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone. Causes Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50. Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as: Cirrhosis of the liver Heart failure Nephrotic syndrome Symptoms Fatigue Headache High blood pressure Intermittent paralysis Muscle weakness Numbness Exams and Tests Abdominal CT scan ECG Plasma aldosterone level Plasma renin activity Serum potassium level Urinary aldosterone Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests: CO2 Serum magnesium Serum sodium Urine potassium Urine sodium Treatment Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include: Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill") Eplerenone (Inspra), which blocks the action of aldosterone Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment. Outlook (Prognosis) The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition. Possible Complications Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon. When to Contact a Medical Professional Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism. Alternative Names Conn syndrome Update Date: 7/25/2009 Updated by: , MD, Endocrinology Specialist and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 He lives in Wisconsin and I am in MN. He thinks he got it from breathing vapors from a burning mattress that he jammed out a window. Breathed in alot of smoke and stuff. His lungs were so bad at the time of diagnosis that the docs thought he had cancer until they did a biopsy. I think my nodules are the result of having Phneumonia 3 times in my adult life. Last time was 2005. Who knows, but they told me they are benign, so I am not worried about it anymore. I just need to fix the PA thingy as naturally as possible and drop some lard off my carcas, then I will be good to go. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible. To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thursday, May 5, 2011 3:03 PMSubject: Re: Re: Image Challenge More likely environmental as I recall. I assume u and ur dad had different exposures during life time. Also more common in South they say. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension My father has this as well. I thought perhaps I had it and it would explain the renal scarring, lung nodules, but I guess not. However, noone ever tested me, just looked at me like a deer in headlights when I asked about it. I guess it is somewhat hereditary. My dad has it in Lungs. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible. To: hyperaldosteronism Sent: Thursday, May 5, 2011 11:30 AMSubject: Re: Re: Image Challenge Would seem this information from Medline would indicate Sx being somewhat the same. Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact Us Search MedlinePlus Health Topics Drugs & Supplements Videos & Cool Tools ESPAÑOL Hyperaldosteronism - primary and secondary URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone. Causes Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressure in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50. Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as: Cirrhosis of the liver Heart failure Nephrotic syndrome Symptoms Fatigue Headache High blood pressure Intermittent paralysis Muscle weakness Numbness Exams and Tests Abdominal CT scan ECG Plasma aldosterone level Plasma renin activity Serum potassium level Urinary aldosterone Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests: CO2 Serum magnesium Serum sodium Urine potassium Urine sodium Treatment Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include: Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill") Eplerenone (Inspra), which blocks the action of aldosterone Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment. Outlook (Prognosis) The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition. Possible Complications Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon. When to Contact a Medical Professional Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism. Alternative Names Conn syndrome Update Date: 7/25/2009 Updated by: , MD, Endocrinology Specialist and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Not that we know about. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Hmmm, seems no one on earth know about " Vitiliago". Urrrrrrrggggggghhhh!!! Shrug. Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 5:57:28 PMSubject: Re: Re: Image Challenge Not that we know about. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Okay, I was just informed that my ANA levels are elevated and need to see a Rhemologist. Think I have lupus?? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 5:57:28 PMSubject: Re: Re: Image Challenge Not that we know about. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Don't know you that well. Need more testsDo you have protein in your urine? Urine ever tested + for blood?Are you having joint pains?Family Hx of Lupus or Rheumatoid arthhave you ever been diagnosed with pleurisy?Have you ever been on Apresoline (Hydralzine) for HTN.Do you have a butterfly rash over your face? May your salt intake and pressure be low!Clarence Grim BS, MS, MDSenior Consultant to Shared Care Research and Education Consulting, Inc.Clarence Grim BS, MS, MD FACP, FACCBoard Certified in Internal Medicine, Geriatrics and Hypertension. Training and faculty positions in past in Cardiology, Endocrinology and Nephrology Okay, I was just informed that my ANA levels are elevated and need to see a Rhemologist.Think I have lupus??SojournerTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 5:57:28 PMSubject: Re: Re: Image Challenge Not that we know about. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? SojournerTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 My sister/had(she passed away last yr) and neice have child/Rhemetoid arthritis, my mother grandmother aunt and neice have vitilaigo, my other sister has diabetes, so auto immune is prevalent. I have had my urine tested, and there was no blood/protein in my urine. I need to get all my labs so you can see where I'm coming from. No rashes on face, psoraisis on elbows and palm of left hand. My lower legs ache sometimes To: hyperaldosteronism Cc: Clarence Grim Sent: Thu, May 5, 2011 7:51:38 PMSubject: Re: Re: Image ChallengeDon't know you that well. Need more tests Do you have protein in your urine? Urine ever tested + for blood? Are you having joint pains? Family Hx of Lupus or Rheumatoid arth have you ever been diagnosed with pleurisy? Have you ever been on Apresoline (Hydralzine) for HTN. Do you have a butterfly rash over your face? May your salt intake and pressure be low! Clarence Grim BS, MS, MD Senior Consultant to Shared Care Research and Education Consulting, Inc. Clarence Grim BS, MS, MD FACP, FACC Board Certified in Internal Medicine, Geriatrics and Hypertension. Training and faculty positions in past in Cardiology, Endocrinology and Nephrology Okay, I was just informed that my ANA levels are elevated and need to see a Rhemologist. Think I have lupus?? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 5:57:28 PMSubject: Re: Re: Image Challenge Not that we know about. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > > > > > > > > > >  > > > > >Question> > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > >> > > > >What is the most likely diagnosis?> > > > >Mycosis fungoides> > > > >Wegener's granulomatosis> > > > >Invasive aspergillosis> > > > >Sarcoidosis> > > > >Polychondritis> > > > >See How Others Chose> > > > >(79212 Total Responses)> > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 For detailed consulting I offer a one to one 1 year access to me and my expertise for 1 year for you and your health care team for $500. You and they can contact me by email. Tele or Skype video chat. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionMy sister/had(she passed away last yr) and neice have child/Rhemetoid arthritis, my mother grandmother aunt and neice have vitilaigo, my other sister has diabetes, so auto immune is prevalent. I have had my urine tested, and there was no blood/protein in my urine. I need to get all my labs so you can see where I'm coming from. No rashes on face, psoraisis on elbows and palm of left hand. My lower legs ache sometimes To: hyperaldosteronism Cc: Clarence Grim Sent: Thu, May 5, 2011 7:51:38 PMSubject: Re: Re: Image ChallengeDon't know you that well. Need more tests Do you have protein in your urine? Urine ever tested + for blood? Are you having joint pains? Family Hx of Lupus or Rheumatoid arth have you ever been diagnosed with pleurisy? Have you ever been on Apresoline (Hydralzine) for HTN. Do you have a butterfly rash over your face? May your salt intake and pressure be low! Clarence Grim BS, MS, MD<pastedGraphic.tiff> Senior Consultant to Shared Care Research and Education Consulting, Inc. Clarence Grim BS, MS, MD FACP, FACC Board Certified in Internal Medicine, Geriatrics and Hypertension. Training and faculty positions in past in Cardiology, Endocrinology and Nephrology Okay, I was just informed that my ANA levels are elevated and need to see a Rhemologist. Think I have lupus?? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 5:57:28 PMSubject: Re: Re: Image Challenge Not that we know about. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Dr You are Sooo, Smart!! Yep, she was on Roids!!! I also have Vitilago, is that somehow connected w/Kidney/Thyroid/Adrenal issues? Sojourner To: "hyperaldosteronism " <hyperaldosteronism >Sent: Thu, May 5, 2011 12:10:46 PMSubject: Re: Re: Image Challenge Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same?> > > I have posted before on here about Socc. My brother has it. I also think from what others have posted some could have socc. I Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 This is cool. Like watching an episode of house Not that I can recall. Renal prob very rare in SARC. Have nit seen any that I recall with HTN UNLESS on steroids. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Wouldn't you have to test to see if renin is high? Dosen't PA and SA have many SX that are the same? > > > > > > > > > > > >  > > > > >Question > > > > >This patient[click] presented with hypertension, proteinuria, and renal > > > >failure. > > > > > > > > >What is the most likely diagnosis? > > > > >Mycosis fungoides > > > > >Wegener's granulomatosis > > > > >Invasive aspergillosis > > > > >Sarcoidosis > > > > >Polychondritis > > > > >See How Others Chose > > > > >(79212 Total Responses) > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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