Concealed administration of frusemide simulating Bartter syndrome in a 4.5-year-old boy

D'Avanzo, M; Santinelli, R; Tolone, Carlo; Bettinelli, Alberto; Bianchetti, Mario G.

doi:10.1007/bf00868731

Cited by 27 publications

(13 citation statements)

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“…Chronic use of furosemide can mimic Bartter syndrome [26], and chronic use of thiazide diuretics can mimic the Gitelman phenotype [27]. Aminoglycosides like gentamicin have been reported to cause the biochemical aspects of Bartter syndrome [28].…”

Section: Discussionmentioning

confidence: 99%

Bartter syndrome complicated by immune complex nephropathy

Sardani

Qin

Haas

et al. 2003

Pediatric Nephrology

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The unusual coincidence of Bartter syndrome and C1q nephropathy is described and the literature reviewed. An African-American girl presented at 4 years of age with acute hyponatremic dehydration and failure to thrive. Persistent hypokalemic alkalosis and secondary hyperaldosteronism were found. The case was atypical for Bartter syndrome in that proteinuria (0.19 g/day) was present. Renal biopsy showed juxtaglomerular hyperplasia and C1q nephropathy. Molecular analysis showed deletion of the renal chloride channel gene (CLCNKB) typical of autosomal recessive childhood Bartter syndrome. Chronic sodium and potassium chloride replacement therapy together with indomethacin normalized her metabolic status, and she experienced catch-up growth. Proteinuria persisted, however. This is the first documentation of C1q nephropathy, in mild form, complicating autosomal recessive Bartter syndrome. This case shows the importance of the renal biopsy and of molecular analysis in delineating the cause of atypical nephropathy associated with Bartter syndrome. These findings add to the evidence of a possible association between the congenital syndrome and acquired immune complex nephropathy.

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Section: Discussionmentioning

confidence: 99%

Bartter syndrome complicated by immune complex nephropathy

Sardani

Qin

Haas

et al. 2003

Pediatric Nephrology

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“…Typical examples are patients, mostly adults, who take loop diuretics for a long period of time either surreptitiously or on prescription [35,36]. Occasionally, this has also been observed in children [51].…”

Section: Discussionmentioning

confidence: 99%

Threading through the mizmaze of Bartter syndrome

Proesmans

2006

Pediatr Nephrol

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The story, described here in detail, started in 1962 with the publication of a seminal paper by Frederic Bartter et al. in the December issue of the American Journal of Medicine. The authors reported two pediatric patients with hitherto undescribed features, namely growth and developmental delay associated with hypokalemic alkalosis and normal blood pressure despite high aldosterone production. It soon became clear that this condition was not so exceptional. The syndrome named after Bartter was actually identified in children as well as in adults, females as well as males and in all five continents. It took almost four decades to clarify the exact nature of the disease. Bartter disease is an autosomal recessive disorder with four genotypes and mainly two phenotypes. Moreover, there are acquired secondary forms of Bartter syndrome as well as pseudo-Bartter syndromes. The history demonstrates the power of genetics but also illustrates the fundamental and irreplaceable contributions from nephrologists and renal physiologists.

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“…Benzer bir araştırmanın sonuçlarına göre de ölüme en çok analjezikler [4,33], anti-koagulanlar [20,39] opioidler [36,41,43], antihistaminikler [4,18], hipotensifler [38,44], antispastikler [42], antidiyabetikler [41], frusamide [46], teofilin [4], amitriptilin [34,35] ve civadır [20]. Tablo Bu tür durumlarda, ölümle sonuçlanan olguların örnekleri ile tedavi altındaki olguların Üniversite ÇKM'leri ekip halinde çalışan, mağdur çocuğa bütüncül yaklaşan, tanı, tedavi ve izlem merkezleridir.…”

Section: Klinikte çOcuk Zehirlenmelerinin Mbps Yönünden Değerlendirilunclassified