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Surreptitious diuretic ingestion and pseudo-Bartter's syndrome.
- Source :
-
The American journal of medicine [Am J Med] 1982 Jul; Vol. 73 (1), pp. 142-7. - Publication Year :
- 1982
-
Abstract
- A patient with profound hypokalemia satisfied the criteria for Bartter's syndrome, including hyperreninemia, aldosteronism, normal blood pressure, and hyperplasia of the juxtaglomerular apparatus. Two screening tests of urine and one of plasma for diuretic agents gave negative results. A third urinary sample gave negative results for thiazide but positive for furosemide; the fourth and fifth samples gave negative results for furosemide but positive for thiazide. Urinary prostaglandin excretion was normal. We conclude that this apparent case of Bartter's syndrome was caused by long term surreptitious diuretic ingestion and suggest this may occur more frequently than is generally appreciated.
- Subjects :
- Adult
Bartter Syndrome diagnosis
Benzothiadiazines
Biopsy
Diagnosis, Differential
Diuretics urine
Dose-Response Relationship, Drug
Female
Furosemide adverse effects
Furosemide urine
Humans
Hyperplasia pathology
Juxtaglomerular Apparatus pathology
Sodium Chloride Symporter Inhibitors adverse effects
Sodium Chloride Symporter Inhibitors urine
Time Factors
Bartter Syndrome etiology
Diuretics adverse effects
Hyperaldosteronism etiology
Substance-Related Disorders
Subjects
Details
- Language :
- English
- ISSN :
- 0002-9343
- Volume :
- 73
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The American journal of medicine
- Publication Type :
- Academic Journal
- Accession number :
- 7091169
- Full Text :
- https://doi.org/10.1016/0002-9343(82)90941-x