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HERDIN Record #: R04A-UPHBL-17060511554956 Submitted: 05 June 2017 Modified: 06 June 2017


Ray Albert P. Cabigan,
Elaine Gayle P. Lopez,
Ma. Rhodora D. Valenzona

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Publication Type
Annual Report
UPH-Dr. Jose G. Tamayo Medical University/Medical Center
Publication Date


Hypertension among adolescents is slowly becoming a common disease entity. Secondary hypertension is a common cause of elevated blood pressure in the young. Among the common yet overlooked causes of hypertension in the young, is hyperaldosteronism . Objectives. This paper will discuss the differential diagnosis of hypertension in the young and subsequently introc methods in identifying primary hyperaldosteronism, its management prognosis and outcomes of treatment. Case.Such is the case of a 20 year old male who came in with a chief complaint for long standing hypertension 140/90-150/90 mmHg. patient underwent blood chemistry, ECG, Chest X-ray, Abdominal Ultrasound, and Abdominal MRI, all of which revealed normal findings. Aldosterone-Renin-Ratio (ARR) however was found to be 45.5. An ARR value of >20 is highly suggestive of hyperaldosteronism. He was maintained on Amlodipine 5mg/tab, OD, but due to persistence of elevated blood pressure he sought consult in our institutio. Ohysical examination findings were normal except for the blood pressure of 140/90 mmHg. Diagnostics. Upper abdominal CT Scan with contrast revealed of any masses. Saline suppression test was done, revealing a post saline loading serum aldosterone of 30 ng/mL confirming the roprimary hyperaldosteronism (A post saline aldosterone of >10 ng/mL is diagnostic of primary hyperaldosteronism). Therapeutics/Outcome. The patient was started on spironolactone 50 mg/tab 1 tablet BID and at present, the blood pressure has been maintained from 120/80 mmHg to 130-90 mmHg

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UPH-Dr. Jose G. Tamayo Medical University/Medical Center Abstract Print Format
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