primary hyperaldosteronism in a normotensive patient: a case report

Introduction: primary aldosteronism (pa) is a clinical syndrome characterized by hypertension, suppressed plasma renin activity (pra), elevated plasma aldosterone concentration (pac), and spontaneous hypokalemia. case presentation: we present a 37-year-old normotensive female with hypokalemia, high plasma aldosterone level, and suppressed renin. the patient was treated with eplerenone and potassium chloride supplement. further investigation with a computed tomography (ct) scan revealed a mass in the left adrenal. laparoscopic adrenalectomy led to the diagnosis of adrenal adenoma. conclusions: primary aldosteronism should be among the differential diagnoses in normotensive patients presenting with severe hypokalemia.