TY - JOUR
T1 - Surreptitious Habitual Vomiting Simulating Bartter's Syndrome
AU - Ramos, Emilio
AU - Hall Craggs, Mary
AU - Demers, Laurence M.
PY - 1980/3/14
Y1 - 1980/3/14
N2 - A patient with hypokalemic alkalosis, normotensive hyperreninism, hyperaldosteronism, increased levels of urinary and plasma prostaglandin E, and vascular hyporesponsivity to angiotensin II was thought to have Bartter's syndrome. Results of a kidney biopsy showed hyperplasia of the juxtaglomerular apparatus but no renomedullary cell hyperplasia. A 24-hour urine collection showed a low chloride level and no increase in the fractional chloride clearance, thus excluding Bartter's syndrome. Subsequent disclosure of surreptitious, habitual vomiting explained the hypokalemia.
AB - A patient with hypokalemic alkalosis, normotensive hyperreninism, hyperaldosteronism, increased levels of urinary and plasma prostaglandin E, and vascular hyporesponsivity to angiotensin II was thought to have Bartter's syndrome. Results of a kidney biopsy showed hyperplasia of the juxtaglomerular apparatus but no renomedullary cell hyperplasia. A 24-hour urine collection showed a low chloride level and no increase in the fractional chloride clearance, thus excluding Bartter's syndrome. Subsequent disclosure of surreptitious, habitual vomiting explained the hypokalemia.
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U2 - 10.1001/jama.1980.03300360042025
DO - 10.1001/jama.1980.03300360042025
M3 - Article
C2 - 7354567
AN - SCOPUS:0018874811
SN - 0098-7484
VL - 243
SP - 1070
EP - 1072
JO - JAMA: The Journal of the American Medical Association
JF - JAMA: The Journal of the American Medical Association
IS - 10
ER -