Table 1.
Diagnostic characteristics of Mayo Clinic and case-reported patients with coexisting pheochromocytoma and primary aldosteronism
| Patient number | Sex | Age (years) | Symptoms of catecholamine excessa | Initial blood pressure (mm Hg) | Hypokalemiab present | PACc (ng/dL) | PRAd (ng/mL/h) | Urinary aldosteronee (mcg/24 h) | Biochemical phenotype of PHEO | Tumor size(s) on imaging (mm) | Site of aldosterone excess on adrenal vein sampling |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Male | 59 | Yes | 142/86 | Yes | 45 | 0.6 | 35 | Adrenergic, Dopaminergic | Right: 30 | Bilateral |
| 2 | Male | 68 | No | 170/90 | Yes | 29 | 0.6 | 31 | Adrenergic | Right: 33 | Not performed |
| 3 [22] | Male | 63 | Yes | 160/94 | Yes | 22 | 0.7 | 29.2 | Adrenergic | Right: 40 | Bilateral |
| Left: 12 | |||||||||||
| 4 | Male | 62 | Yes | 160/75 | Yes | 18 | 0.6 | 40 | Noradrenergic | Right: 10 | Bilateral |
| Left: 12 | |||||||||||
| 5 | Female | 62 | Yes | 124/84 | Yes | 11 | 0.6 | 84 | Noradrenergic | Right: 31 | Not performed |
| Left: 44 | |||||||||||
| 6 [5] | Male | 49 | No | 150/110 | Yes | 28.5 | 0.21 | Unknown | Functioning, phenotype unclear | No imaging | Left |
| 7 [6] | Male | 46 | No | 180/100 | Yes | 20 | 0.13 | Unknown | Noradrenergic | Right: unknown | Not performed |
| 8 [7] | Female | 40 | No | “Mildly hypertensive” | Yes | 21.4 | 0.3 | Unknown | Adrenergic | Right: 40 | Bilateral (left dominant) |
| 9 [7] | Female | 63 | Yes | “Normo-tensive” | No | Unknown | Unknown | Unknown | Adrenergic | Left: 50 | Not performed |
| 10 [8] | Female | 39 | No | 142/95 | Yes | 64 | 0.2 | Unknown | Unknown | Right: 15 | Not performed |
| 11 [9] | Male | 49 | No | 162/96 | Yes | 117.1 | 0.1 | 39.2 | Noradrenergic | Right: 40 | Left |
| Left: 10 | |||||||||||
| 12 [10] | Male | 57 | No | 210/120 | Yes | 42 | 0.004 | Unknown | Adrenergic | Right: 70 | Left |
| Left: 10 | |||||||||||
| 13 [11] | Female | 40 | No | 152/92 | Yes | 20 | 0.1 | Unknown | Noradrenergic, dopaminergic | Left: 25 | Left |
| 14 [12] | Female | 36 | No | 202/120 | Yes | 40.7 | 1.2 | 19 | Noradrenergic | Right: unknown | Bilateral |
| Left: unknown | |||||||||||
| 15 [13] | Female | 53 | Yes | 150/100 | No | 33.4 | 0.005 | Unknown | Adrenergic | Right: 30 | Not performed |
| Left: 20, 7 |
Abbreviations: PAC, plasma aldosterone concentration; PHEO, pheochromocytoma; PRA, plasma renin activity.
aSymptoms of catecholamine excess were defined as headaches, palpitations, diaphoresis, and/or anxiety spells.
bHypokalemia was defined as K <3.5 mEq/L and/or requiring potassium supplementation or mineralocorticoid receptor blockade.
cPAC normal range <10 ng/dL;
dPRA normal range <1 ng/mL/h;
eNormal range of urinary aldosterone concentration was <12 mcg/24 h.