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Hyperaldosteronism, Primary 491.e3

can be excellent without medication, but finding abnormalities in size or structure of Fernandez Y, et al: Feline primary hyperaldosteronism:
routine screening for recurrence should be the adrenal gland(s). clinical and surgical approach. Compan Anim
21:146-153, 2016.
VetBooks.ir • Medical management of inoperable disease Technician Tips Galac S, et al: Adrenals. In Rijnberk A, et al, editors: Diseases and Disorders
performed.
Clinical endocrinology of dogs and cats, ed 2, Han-
may achieve good short-term control of
• Hypokalemia and arterial hypertension
nover, Germany, 2010, Schlütersche, pp 93-154.
hypokalemia and systemic hypertension.
The prognosis may not be as favorable as should be treated symptomatically and Javadi S, et al: Primary hyperaldosteronism, a media-
require further workup to identify the cause.
tor of progressive renal disease in cats. Domest
after adrenalectomy because this treatment • The maximum intravenous dosage rate of Anim Endocrinol 28:85-104, 2005.
does not abolish the mineralocorticoid excess potassium chloride is 0.5 mmol/kg body
as completely as surgery can. weight/h. RELATED CLIENT EDUCATION
• Feline primary hyperaldosteronism may be
associated with chronic kidney disease, which SUGGESTED READING SHEETS
can limit survival. Djajadiningrat-Laanen SC, et al: Primary hyperal- Chronic Kidney Disease
dosteronism, expanding the diagnostic net. J Feline Consent to Perform Abdominal Ultrasound
PEARLS & CONSIDERATIONS Med Surg 13:641-650, 2011. Hypertension, Systemic
Comments ADDITIONAL SUGGESTED How to Change the Environment for a Pet
That Is Blind
• Plasma aldosterone concentration may be READINGS
within the reference range in cats with Ash RA, et al: Primary hyperaldosteronism in the cat: AUTHOR: Hans S. Kooistra, DVM, PhD, DECVIM
primary hyperaldosteronism. a series of 13 cases. J Feline Med Surg 7:173-182, EDITOR: Ellen N. Behrend, VMD, PhD, DACVIM
• An elevated plasma aldosterone concentration 2005.
may reflect secondary hyperaldosteronism. Daniel G, et al: Clinical findings, diagnostics and
• If determination of the plasma renin activ- outcome in 33 cats with adrenal neoplasia (2002-
ity is not available, suspicion of primary 2013). J Feline Med Surg 18:77-84, 2016.
hyperaldosteronism may be strengthened by

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