{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T02:08:07Z","timestamp":1779242887928,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,11,8]],"date-time":"2011-11-08T00:00:00Z","timestamp":1320710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Surg Pathol"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>A 70-year-old woman was referred to the authors\u2019 unit following hospitalization for cardiac failure, high urinary free cortisol concentrations and severe hypokaliemia. A computed tomography scan of the abdomen showed an adrenal adenoma. The 24-hour urinary free cortisol values were high and plasma cortisol levels failed to suppress following 1 mg dexamethasone test. Aldosterone to plasma renin activity ratio was also pathologic, confirmed by saline load. She showed no symptoms of glucocorticoid excess. She was diagnosed with combined primary hyperaldosteronism and Cushing\u2019s syndrome. Cases of adrenal incidentalomas co-secreting cortisol and aldosterone are rare; they should be addressed in patients undergoing adrenal surgery for Conn\u2019s syndrome to avoid adrenal insufficiency after removal of the tumor.<\/jats:p>","DOI":"10.1177\/1066896911427036","type":"journal-article","created":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T01:32:37Z","timestamp":1320888757000},"page":"316-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Combined Aldosterone and Cortisol Secretion by Adrenal Incidentaloma"],"prefix":"10.1177","volume":"20","author":[{"given":"Valentina","family":"Vicennati","sequence":"first","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Repaci","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"di Dalmazi","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Golfieri","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuela","family":"Giampalma","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Minni","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Marrano","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatella","family":"Santini","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Pasquali","sequence":"additional","affiliation":[{"name":"University Alma Mater Studiorum, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,11,8]]},"reference":[{"key":"bibr1-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.27.193"},{"key":"bibr2-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.24.723"},{"key":"bibr3-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.30.367"},{"key":"bibr4-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(77)90883-X"},{"key":"bibr5-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(79)90803-9"},{"key":"bibr6-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1080\/17843286.1995.11718468"},{"key":"bibr7-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.48.103"},{"key":"bibr8-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.24.723"},{"key":"bibr9-1066896911427036","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.41.967"},{"key":"bibr10-1066896911427036","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.42.714"},{"key":"bibr11-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.26.663"},{"key":"bibr12-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1253\/circj.69.1425"},{"key":"bibr13-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-10-1070"},{"key":"bibr14-1066896911427036","doi-asserted-by":"crossref","first-page":"5144","DOI":"10.1210\/endo.139.12.6333","volume":"139","author":"Coulter CL","year":"1998","journal-title":"Endocrinology"},{"key":"bibr15-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-67-3-444"},{"key":"bibr16-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.8.8.669"},{"key":"bibr17-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.29.883"},{"key":"bibr18-1066896911427036","doi-asserted-by":"publisher","DOI":"10.3109\/00313028309083505"},{"key":"bibr19-1066896911427036","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(63)91624-6"},{"key":"bibr20-1066896911427036","first-page":"340","volume":"164","author":"K\u00f8nig KB","year":"2002","journal-title":"Ugeskr Laeger"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896911427036","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1066896911427036","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896911427036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:18:30Z","timestamp":1777457910000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1066896911427036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,11,8]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1177\/1066896911427036"],"URL":"https:\/\/doi.org\/10.1177\/1066896911427036","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,11,8]]}}}