Mr B (63m) presented with resistant hypertension, diagnosed aged 46, associated with significant hypokalaemia over the past four years. He remained hypertensive (150/90mmHg) despite controlled release metoprolol 47.5mg, felodipine 10mg,…
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Primary hyperaldosteronism is a common cause of hypertension in the adult population. We report a case of histologically and biochemically confirmed hyperaldosteronism related to an adrenal adenoma, where initial screening and biochemical tests were potentially misleading. The case highlights the importance of clinical suspicion in the current diagnostic approach to primary hyperaldosteronism.