Which of the following is not a cause of features of primary hyperaldosteronism?: (A) Cushing syndrome, (B) Adrenal adenoma, (C) Adrenal hyperplasia, (D) Chronic CCF
Answer is D. Chronic CCF will lead to low GFR. The subsequent activation of RAAS will lead to increased renin and secondary aldosteronism. Causes of primary hyperaldosteronism : Conn syndrome (adrenal adenoma): 60% Bilateral adrenal hyperplasia (Micronodular): 60% Cushing syndrome Syndrome of apparent mineralocoicoid excess Adrenocoical carcinoma Congenital adrenal hyperplasia