Williams等报道了一例由于单独球状带缺失所致的获得性醛固酮减低的罕见病例。本文作者最近报道了一例14岁患者在诊断为甲状旁腺功能减退症后7年出现高钾血症,低钠血症和血浆肾素活性增高。同时,患者生长速度每年小于1cm。在分析患者束状带和球状带时,显示正常的血浆考地松、脱氧皮质酮和皮质酮反应以及在ACTH刺激下的18-羟脱氧皮质酮和四氢皮质酮的正常尿反应。相反,尿的18—羟皮质酮和尿与血浆醛固酮值则未能测知。血浆 Williams et al. Reported a rare case of acquired aldosterone reduction due to the absence of the individual globular bands. The authors recently reported a 14-year-old patient with hyperkalemia, hyponatremia and increased plasma renin activity at 7 years after diagnosis of hypoparathyroidism. At the same time, the patient’s growth rate is less than 1cm per year. The normal plasma cortisone, deoxycorticosterone and corticosterone responses as well as the normal urinary response of 18-hydroxydcortisone and tetrahydrocortisone under ACTH stimulation were shown in the analysis of the patient’s zona fasciculus and bulbous zone. In contrast, urinary 18-hydroxycorticosterone and urinary and plasma aldosterone values ​​were undetectable. plasma