Indian Pediatrics Case Reports

CASE REPORT
Year
: 2022  |  Volume : 2  |  Issue : 1  |  Page : 40--43

Conn's syndrome: A rare cause of acute flaccid paralysis in an adolescent


Suchitra Sivadas1, Nisha Bhavani2, Praveena Bhaskaran1, Jayakumar Chandrasekhara Panicker1, Naveen Viswanath3 
1 Department of Pediatrics, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Department of Endocrinology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
3 Department of Pediatric Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Dr. Suchitra Sivadas
Department of Pediatrics, Amrita Institute of Medical Sciences, Ponekkara, Kochi - 682 041, Kerala
India

Background: Acute flaccid paralysis is a medical emergency. Hypokalemia secondary to an aldosterone-secreting adrenal adenoma or Conn's syndrome is a rare cause of hypokalemic paralysis. There are very few case reports from the pediatric population of the same. Clinical Description: We report the case of a 17-year-old girl, previously asymptomatic, who presented with sudden-onset, progressive weakness of all four limbs. There was no history of altered sensorium, cranial nerve involvement, or abdominal complaints. On examination, she was found to be hypertensive. Preliminary investigations revealed severe hypokalemia and metabolic alkalosis. There was no history suggestive of gastrointestinal potassium losses. Hence, a possibility of renal losses was considered and she was found to have kaliuresis. Management and Outcome: In view of hypokalemia, with hypertension with increased renal potassium loss, a possibility of hyperaldosteronism was considered. Plasma aldosterone concentration was elevated with levels of 20.3 ng/dl (normal <15 ng/dl). The direct renin concentration was <0.5 μIU/l (normal 5–14 μIU/l). This confirmed a diagnosis of primary hyperaldosteronism. Contrast-enhanced CT of the abdomen showed an adrenal adenoma. She electively underwent a laparoscopic adrenalectomy after her motor power improved with potassium replacement. Currently, she remains normotensive, asymptomatic, and off medications. Conclusion: The case highlights that Conn's syndrome though rare is an important cause that a high index of suspicion is necessary in young hypertensive patients to make an early diagnosis of this potentially treatable condition.


How to cite this article:
Sivadas S, Bhavani N, Bhaskaran P, Panicker JC, Viswanath N. Conn's syndrome: A rare cause of acute flaccid paralysis in an adolescent.Indian Pediatr Case Rep 2022;2:40-43


How to cite this URL:
Sivadas S, Bhavani N, Bhaskaran P, Panicker JC, Viswanath N. Conn's syndrome: A rare cause of acute flaccid paralysis in an adolescent. Indian Pediatr Case Rep [serial online] 2022 [cited 2022 Jul 2 ];2:40-43
Available from: http://www.ipcares.org/article.asp?issn=2772-5170;year=2022;volume=2;issue=1;spage=40;epage=43;aulast=Sivadas;type=0