{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:09:18Z","timestamp":1777435758448,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T00:00:00Z","timestamp":1345593600000},"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":["Ann Clin Biochem"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>Aldosterone-producing adenoma (APA), one of the most common causes of primary hyperaldosteronism, is clinically characterized by hypertension, increased sodium retention, increased potassium excretion and altered glucose metabolism. APA can also manifest in the form of hyperosmolar hyperglycaemic state (HHS), which is a life-threatening acute diabetic complication. Infection and inadequate fluid replacement are the common precipitating and predisposing factors for the occurrence of HHS. Here, we report a case of occult APA with the initial presentation of HHS, in which an unusually rapid correction of diabetes was observed after correct diagnosis and surgical resection of the APA. To our knowledge, this is the first case with such manifestations and outcome.<\/jats:p>","DOI":"10.1258\/acb.2012.011237","type":"journal-article","created":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T21:26:18Z","timestamp":1345670778000},"page":"505-507","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An occult aldosterone-producing adenoma initially presenting as hyperosmolar hyperglycaemic state"],"prefix":"10.1177","volume":"49","author":[{"given":"Feng-Chih","family":"Kuo","sequence":"first","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Road, Neihu District, Taipei City 114, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Jen","family":"Hung","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Road, Neihu District, Taipei City 114, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Hsun","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Road, Neihu District, Taipei City 114, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fone-Ching","family":"Hsiao","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Road, Neihu District, Taipei City 114, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,8,22]]},"reference":[{"key":"bibr-ACB-11-237C1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2008.01.006"},{"key":"bibr-ACB-11-237C2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-11-200906020-00005"},{"key":"bibr-ACB-11-237C3","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.2007.S5"},{"key":"bibr-ACB-11-237C4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.189141"},{"key":"bibr-ACB-11-237C5","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-0104"},{"key":"bibr-ACB-11-237C6","unstructured":"World Health Organization. World Health Organization: definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. Report of a WHO\/IDF consultation. Geneva: World Health Organization, 2006"},{"key":"bibr-ACB-11-237C7","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2005.03.006"},{"key":"bibr-ACB-11-237C8","doi-asserted-by":"publisher","DOI":"10.1258\/000456303322326362"},{"key":"bibr-ACB-11-237C9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2009.12.004"},{"key":"bibr-ACB-11-237C10","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3280108e6f"},{"key":"bibr-ACB-11-237C11","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0736"}],"container-title":["Annals of Clinical Biochemistry: International Journal of Laboratory Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/acb.2012.011237","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/acb.2012.011237","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/acb.2012.011237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:56:55Z","timestamp":1777377415000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/acb.2012.011237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,22]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1258\/acb.2012.011237"],"URL":"https:\/\/doi.org\/10.1258\/acb.2012.011237","relation":{},"ISSN":["0004-5632","1758-1001"],"issn-type":[{"value":"0004-5632","type":"print"},{"value":"1758-1001","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,22]]}}}