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Correspondence
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Volume 344:1558-1559 May 17, 2001 Number 20
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Paraneoplastic Hyperaldosteronism Associated with Non-Hodgkin's Lymphoma

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To the Editor: Hyperaldosteronism is the cause of about 0.5 to 2 percent of all cases of hypertension. Aldosterone-producing adenomas account for approximately 60 percent of the cases of hyperaldosteronism, and bilateral adrenal hyperplasia accounts for the remaining 40 percent. Its occurrence as a paraneoplastic syndrome is very rare. We describe a patient with hyperaldosteronism in whom the excess aldosterone was caused by a non-Hodgkin's lymphoma.

The patient was a 57-year-old man who presented with easy fatigability and headache. He had had hypertension for two months and was receiving enalapril therapy. His blood pressure was 215/140 mm Hg. Physical examination . . . [Full Text of this Article]

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