Recurrent calcium nephrolithiasis associated with primary aldosteronism

Jason Shey, Mary Ann Cameron, Khashayar Sakhaee, Orson W. Moe

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Typical manifestations of hyperaldosteronism include salt retention, hypokalemia, and metabolic alkalosis. However, a consequence infrequently recognized and described is hypocitraturia. In combination with hypercalciuria, aldosterone-induced hypocitraturia can trigger calcium nephrolithiasis. The authors report a case of an individual with primary hyperaldosteronism from an adrenal adenoma that resulted in hypocitraturia. The patient had severe recurrent renal calcium calculi that corrected with adrenalectomy. The clinical physiology of renal calcium and citrate handling in hyperaldosteronism is reviewed.

Original languageEnglish (US)
Pages (from-to)E7-E12
JournalAmerican Journal of Kidney Diseases
Issue number1
StatePublished - Jul 2004


  • Hyperaldosteronism
  • hypocitraturia
  • kidney stone

ASJC Scopus subject areas

  • Nephrology


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