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Infantile Hypertrophic Pyloric Stenosis Without Metabolic Alkalosis: A Report of Two Cases.
Cureus
September 2024
Pediatrics, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, IND.
Article Synopsis
- Infantile hypertrophic pyloric stenosis (IHPS) is a condition in infants that causes the pylorus to thicken, resulting in gastric outlet obstruction and severe vomiting.
- This case series discusses two infants with IHPS who displayed metabolic acidosis, rather than the typical metabolic alkalosis usually seen in such cases.
- The presence of metabolic acidosis suggests there may be different underlying issues in these cases, indicating that diagnosing IHPS may require a more comprehensive approach.
An Unusual Presentation of Failure to Thrive in a Toddler: Bartter Syndrome.
Cureus
August 2024
Paediatrics, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Article Synopsis
- Bartter syndrome is a rare condition that affects how kidneys handle salt and can be passed down from parents to kids.
- A case was reported about an 18-month-old boy who was not growing well and had to drink a lot of water and pee a lot.
- The doctors figured out he had Bartter syndrome through tests, and he was given medicine to help him feel better, showing how important it is to look closely at kids with growth problems.
[Two Cases of Pseudo-Bartter Syndrome in Childhood: When to Suspect a Rare Onset Pattern of Cystic Fibrosis].
G Ital Nefrol
June 2024
UOC Pediatria, Ospedale Infermi, Rimini, ASL Romagna.
Cystic fibrosis is a multisystem disease with extremely variable onset, symptoms and course. One of the onset modality but also a complication of the disease is the pseudo-Bartter syndrome, characterized by hyponatremia, hypochloremic dehydration and metabolic alkalosis in absence of any renal disease. This syndrome occurs more frequently in the first year of life and has a peak in the summer.
View Article and Find Full Text PDFBartter Syndrome Presenting as Arginine-Vasopressin Resistance: A Report of 2 Cases.
Am J Case Rep
June 2024
Department of Endocrinology and Nutrition, Hospital Divino Espírito Santo, Ponta Delgada, Portugal.
BACKGROUND Bartter syndrome is a rare, inherited salt-wasting tubulopathy caused by mutations in 1 of 6 genes that express ion transport channels in the thick ascending limb of nephrons. Excessive prostaglandin E2 and associated hyperreninemic hyperaldosteronism occurs, causing polyhydramnios, polyuria, prematurity, failure to thrive, and characteristic physical features. Hypokalemia, hypochloremic metabolic alkalosis, and, depending on the affected gene, hypercalciuria and nephrocalcinosis are hallmarks of Bartter syndrome.
View Article and Find Full Text PDFBartter syndrome-like phenotype in a patient with type 2 diabetes mellitus.
BMJ Case Rep
February 2024
Internal Medicine, Armed Forces Medical College, Pune, India
Bartter syndrome (BS) is a rare genetic tubulopathy affecting the loop of Henle leading to salt wasting. It is commonly seen in utero or in the early neonatal period. Rare cases of acquired BS are reported in association with infections like tuberculosis, granulomatous conditions like sarcoidosis, autoimmune diseases and drugs.
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