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Aldosterone excess: a rare non-nephrophathic cause of hypertension in type I diabetes.
  1. N. N. Chan,
  2. M. D. Feher
  1. Department of Clinical Pharmacology & Therapeutics, Chelsea & Westminster Hospital, London, UK.


    The aetiology of hypertension in type 1 diabetes is commonly due to the presence of diabetic nephrology. A rare case of hypertension in a patient with type 1 diabetes and no proteinuria is reported, where the investigation of borderline hypokalaemia allowed us to make a diagnosis of hyperaldosteronism due to bilateral adrenocortical hyperplasia. Secondary causes of hypertension should always be considered in all diabetic patients, particularly in the absence of clinical proteinuria.

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