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Document Details
Document Type
:
Article In Journal
Document Title
:
Salt losing nephropathy simulating congenital adrenal hyperplasia in an infant.
المرض الكلويّ الفاقد المالح الّذي يحاكي الفرط استنساج الخلقيّ فوق كلويّ في طفل .
Subject
:
Salt losing nephropathy simulating congenital adrenal hyperplasia in an infant.
Document Language
:
English
Abstract
:
Pseudo-hypoaldosteronism occurring predominately in male infants has been reported in association with a spectrum of urologic diseases including obstructive uropathy. This is thought to reflect tubule unresponsiveness to aldosterone. We report a case, which was misdiagnosed as a case of congenital adrenal hyperplasia and treated inappropriately with hydrocortisone and fludrocortisone for 12-months before he had a urinary tract infection and was discovered to have obstructive uropathy on ultrasound. He presented with vomiting, dehydration, hyperkalemia, hyponatremia and metabolic acidosis. His initial 17 hydroxyprogestrone was high. His electrolytes improved to normal after relieving the obstruction by vesicostomy and his treatment weaned slowly without complications. This case demonstrates the importance of urine culture and ultrasound examination in suspected cases of pseudo-hypoaldosteronism.
ISSN
:
1319-1004
Journal Name
:
Medical Science Journal
Volume
:
23
Issue Number
:
7
Publishing Year
:
1422 AH
2002 AD
Article Type
:
Article
Added Date
:
Monday, February 7, 2011
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
جميلة قاري
Kari, Jameela
Researcher
Doctorate
Files
File Name
Type
Description
28892.pdf
pdf
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