[25 years' experience with diagnosis of XXXX ].

@entity1 @entity652 @entity101 @entity1911 @entity7990 @entity2922 @entity299 @entity4372 @entity583 @entity2661
The author submits his 25-year experience with the diagnosis of @entity1911 in 36 @entity1 . He evaluates the clinical picture by discrimination analysis of subjective symptoms and objective signs of the disease. @entity101 --by 24-hour monitoring of the blood pressure. In case of slight elevation of @entity2661 he uses the Estulice test. In liminal cases @entity1 are dispensarised. Due to a higher frequency of CT examinations in @entity4372 @entity1 findings of @entity652 of the adrenals cumulate which are hormonally inactive. Gammagraphy can in that case confirm a functionally active @entity1911 , it can however produce also a falsely positive finding with an extraadrenal localization. Non-invasive detection of the site of a @entity1911 (computed tomography, ultrasonography, @entity7990 gammagraphy, the finding of an increased @entity2922 production) suffices for indication of surgical treatment. The author tries to avoid invasive examinations (angiography), as well as pharmacological provocation tests. Symptoms of @entity2922 @entity299 can simulate the electrocardiographic finding of @entity583 which makes decision taking on the therapeutic procedure more difficult. After alpha-blockers and in particular after a successful operation the electrocardiographic changes are restored to normal. After early assessment of the diagnosis and surgery the disease has at present a favourable prognosis.
