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Pediatric Nephrology
Published in: Pediatric Nephrology 10/2019

01-10-2019 | Congenital Adrenal Hyperplasia | Clinical Quiz

An infant with hyponatremia, hyperkalemia, and metabolic acidosis associated with urinary tract infection: Answers

Authors: Bahriye Atmis, İhsan Turan, Engin Melek, Aysun Karabay Bayazit

Published in: Pediatric Nephrology | Issue 10/2019

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Excerpt

Answer 1: A blood gas analysis, plasma renin, serum levels of aldosterone, adrenocorticotropic hormone (ACTH), and cortisol, serum/urine potassium (K), and serum/urine osmolality values are necessary for evaluation of a child with hyponatremia, hyperkalemia, and dehydration. …
Literature
1.
Torun-Bayram M, Soylu A, Kasap-Demir B, Alaygut D, Türkmen M, Kavukçu S (2012) Secondary pseudohypoaldosteronism caused by urinary tract infection associated with urinary tract anomalies: case reports. Turk J Pediatr 54:67–70PubMed
2.
Abraham MB, Larkins N, Choong CS, Shetty VB (2017) Transient pseudohypoaldosteronism in infancy secondary to urinary tract infection. J Paediatr Child Health 53:458–463CrossRefPubMed
3.
4.
Casas-Alba D, Vila Cots J, Monfort Carretero L, Martorell Sampol L, Zennaro MC, Jeunemaitre X, Camacho Díaz JA (2017) Pseudohypoaldosteronism types I and II: little more than a name in common. J Pediatr Endocrinol Metab 30:597–601CrossRefPubMed
5.
Bizzarri C, Pedicelli S, Cappa M, Cianfarani S (2016) Water balance and ‘salt wasting’ in the first year of life: the role of aldosterone-signaling defects. Horm Res Paediatr 86:143–153CrossRefPubMed
6.
De Clerck M, Vande Walle J, Dhont E, Dehoorne J, Keenswijk W (2017) An infant presenting with failure to thrive and hyperkalaemia owing to transient pseudohypoaldosteronism: case report. Paediatr Int Child Health 30:1–4
7.
Krishnappa V, Ross JH, Kenagy DN, Raina R (2016) Secondary or transient Pseudohypoaldosteronism associated with urinary tract anomaly and urinary infection: a case report. Urol Case Rep 8:61–62CrossRefPubMedPubMedCentral
8.
Bogdanović R, Stajić N, Putnik J, Paripović A (2009) Transient type 1 pseudo-hypoaldosteronism: report on an eight-patient series and literature review. Pediatr Nephrol 24:2167–2175CrossRefPubMed
9.
Watanabe T (2003) Reversible secondary pseudohypoaldosteronism. Pediatr Nephrol 18:486PubMed
10.
Kuhnle U, Guariso G, Sonega M, Hinkel GK, Hubl W, Armanini D (1993) Transient pseudohypoaldosteronism in obstructive renal disease with transient reduction of lymphocytic aldosterone receptors. Results in two affected infants. Horm Res 39:152–155CrossRefPubMed
11.
Arai K, Chrousos GP Aldosterone deficiency and resistance. In: De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A (eds) Endotext. MDText.com, Inc., South Dartmouth 2000–2016, May 11
12.
Zennaro MC, Hubert EL, Fernandes-Rosa FL (2012) Aldosterone resistance: structural and functional considerations and new perspectives. Mol Cell Endocrinol 350:206–215CrossRefPubMed
13.
Belot A, Ranchin B, Fichtner C, Pujo L, Rossier BC, Liutkus A, Morlat C, Nicolino M, Zennaro MC, Cochat P (2008) Pseudohypoaldosteronisms, report on a 10-patient series. Nephrol Dial Transplant 23:1636–1641CrossRefPubMed
Metadata
Title
An infant with hyponatremia, hyperkalemia, and metabolic acidosis associated with urinary tract infection: Answers
Authors
Bahriye Atmis
İhsan Turan
Engin Melek
Aysun Karabay Bayazit
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2019
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-019-04254-2

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