of NBS may minimize/mask the symptoms and laboratory abnormalities of CAH.
According to clinical presentations, the major symptoms include the following: (1) Hypokalemia (2) hyperkaluria (3) metabolic alkalosis (4) hyperreninemia (5) hyperaldosteronemia
(6) exogenous vasopressin insensitivity (7) juxtaglomerular hyperplasia (8) hypochloremia (9) normal blood pressure, and (10) clear family history.
If no such issues are identified, consider a referral to a specialist for further evaluation and to rule out disorders associated with treatment-resistant hypertension, including CKD, renal artery stenosis, hyperaldosteronemia
, sleep apnea, and coarctation of the aorta.
Therefore, we diagnosed the patient with adrenal myelolipoma associated with hyperaldosteronemia
Further, increased sodium retention may be related to a dysregulation that occurs in a regulatory pathway rather than hyperaldosteronemia
(Doucet et al.
In another patient, myelolipoma was accompanied by hypokalemia and hyperaldosteronemia