The most common primary cause is called idiopathic hyperaldosteronism, because the zona glomerulosa has an increase in the number of cells secreting aldosterone, but it's not really clear why this happens.

最常见的原发性病因称为特发性醛固酮增多症：这是由于球状带分泌醛固酮的细胞数量增加，但目前尚不清楚为什么会发生这种情况。