Keywords
Hyperprolactinemia
Hypertension
Hyperaldosteronism
Adenoma
Adrenalectomy
How to Cite
Abstract
Background: Prolactinomas are the most common type of pituitary tumor. Patients with prolactinomas present with signs and symptoms of hypogonadism and galactorrhea. Primary aldosteronism (PA) is an underdiagnosed cause of hypertension, characterized by autonomous aldosterone secretion. The concomitance of these two syndromes has been infrequently reported in the literature.
Purpose: To present a case of prolactinoma-PA coexistence in order to highlight the co-occurrence of both entities and to expose the potential pathophysiological link between hyperprolactinemia/prolactinoma and PA.
Case presentation: 38-year-old woman with a history of several years of oligomenorrhea without galactorrhea. Initial biochemistry with hyperprolactinemia and MRI of the sellar region revealed a prolactinoma. During follow-up, the patient had hypertension that was difficult to control, a secondary cause was explored, which revealed an aldosterone/plasma renin activity ratio of 232 ng/dL/ng/mL/h in presence of a 10 mm left adrenal adenoma, these findings confirmed the diagnosis of primary hyperaldosteronism.
Discussion and conclusion: The coexistence of these two findings is a condition rarely described in the literature, and it is hypothesized that elevated PRL concentrations could play a role in the pathogenesis of PA in patients who are not part of the Multiple Endocrine Neoplasia Type 1 (MEN1) genetic syndrome.
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