A Case of Bartter's Syndrome in an Adult.
- Author:
Jae Soon SONG
1
;
Joon Jae SHINN
;
Kye Hwa YOU
;
Hyun Kyung LEE
;
Wang Ki CHA
;
Ki Hyun KWON
;
Yong Seon SO
;
Jong Soon KIM
;
Jong Tae CHO
Author Information
1. Department of Internal Medicine, Hanil Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Bartter's syndrome;
Hypokalemia;
Secondary hyperaldosteronism
- MeSH:
Adult*;
Alkalosis;
Bartter Syndrome*;
Blood Pressure;
Diarrhea;
Diuretics;
Dizziness;
Edema;
Female;
Glycyrrhiza;
Humans;
Hyperaldosteronism;
Hypertension;
Hypokalemia;
Laxatives;
Middle Aged;
Muscle Cramp;
Muscle Weakness;
Nausea;
Potassium;
Spironolactone;
Vomiting
- From:Korean Journal of Nephrology
1997;16(3):567-571
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bartter's syndrome is characterized by hypokalemia and secondary hyperaldosteronism without edema or hypertension. Its pathogenesis is obscure and the characteristic renal potassium wastage is difficult to treat. We experienced a case of Bartter's syndrome in 47 year-old diabetic female. She had felt dizziness, muscle weakness and cramping for about two years. During diagnostic evaluation, hypokalemic metabolic alkalosis and hyperreninemic hyperaldosteronism were discovered. The patient denied ingestions of laxatives, diuretics, licorice and she had no nausea, vomiting, diarrhea or edema. She had normal blood pressure. The patient improved with potassium supplements and spironolactone therapy along with oral hypoglycemic agent. So we report this case with the review of literature.
