Mittal K, Anandpara K, Dey AK, Sharma R, Thakkar H, Hira P, Deshmukh H. An Association of Chronic Hyperaldosteronism with Medullary Nephrocalcinosis.
Pol J Radiol 2015;
80:417-24. [PMID:
26413177 PMCID:
PMC4564071 DOI:
10.12659/pjr.894674]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2015] [Accepted: 06/16/2015] [Indexed: 11/09/2022] Open
Abstract
Background
An association between chronic hyperaldosteronism and medullary nephrocalcinosis has rarely been made, with only a handful of cases described in literature.
Case Report
We describe five cases of hyperaldosteronism with a long- standing history in whom associated medullary nephrocalcinosis was established.
Conclusions
We infer that a chronic hyperaldosteronic status, whether primary or secondary, is a causal factor in the etiopathogenesis of medullary nephrocalcinosis. This article illustrates and summarizes various postulated theories that support our proposed association between hyperaldosteronism and nephrocalcinosis. We conclude that chronic hyperaldosteronism should be included as one of the causes of nephrocalcinosis and that our case series emphasizes the need of a well-organized retrospective study to prove it further.
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