We report the case of a 48-year old man with uncontrolled hypertension and persistent hypokalaemia from an aldosterone producing adrenal adenoma treated by laparoscopic adrenalectomy. Clinicians' identification of primary hyperaldosteronism is critical as the correct treatment results in improved blood pressure control and reduced risk of complications.

Hypokalaemia represents a significant risk factor for sudden cardiac death in patients with bulimia nervosa. Whilst the goal of treatment is always reduction of vomiting, this may not be easily attainable and in the interim some patients may be at significant risk. As a harm minimisation strategy, it was suggested that Nexium (esomeprazole) could reduce hypokalemia. This is a logical manoeuvre ...

A 15-year-old boy with quadriplegia and facial dysmorphia was referred to the emergency room. This was his first episode of tetraplegia. One maternal uncle had exhibited the same manifestation 20 years before. Blood test revealed severe hypokalaemia and mild hypocalcaemia. The clinical diagnosis revealed an Andersen-Tawil syndrome. Molecular tools allowed us to make the diagnosis of familial hy...

1 Dandona P, Freedman DB, Mohiuddin J, Jeremy JY. Hyperphosphataemic rickets. Br Med 7 1983;287:1765. 2 Watney PJ, Chance GW, Scott P. Maternal factors in neonatal hypocalcaemia. Br Med J 1971 ;ii:432-6. 3 Cockburn F, Beltan NR, Purvis RJ, et al. Maternal vitamin D intake and mineral metabolism in mothers and newborn infants. Br Med _' 1980;280:11-3. 4 Okonofua F, Houlder S, Thomas M, O'Brien S...

A 60 year old white man was admitted from the emergency department after an unwitnessed collapse and generalised weakness and malaise. He had no medical history of note and was taking no drugs. On clinical assessment he had hypertension, which had not previously been documented, with a blood pressure of 187/91 mm Hg. Blood tests showed severe hypokalaemia (2.1 mmol/L (reference range 3.6-5.0), ...

A case report of an interesting paraneoplastic syndrome http://ow.ly/YGAR3.