Korean J Nephrol.
1997 Sep;16(3):567-571.
A Case of Bartter's Syndrome in an Adult
- Affiliations
-
- 1Department of Internal Medicine, Hanil Hospital, Seoul, Korea.
- 2Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea.
Abstract
- Bartter's syndrome is characterized by hypokalemia and secondary hyperaldosteronism without edema or hypertension. Its pathogenesis is obscure and the characteristic renal potassium wastage is difficult to treat. We experienced a case of Bartter's syndrome in 47 year-old diabetic female. She had felt dizziness, muscle weakness and cramping for about two years. During diagnostic evaluation, hypokalemic metabolic alkalosis and hyperreninemic hyperaldosteronism were discovered. The patient denied ingestions of laxatives, diuretics, licorice and she had no nausea, vomiting, diarrhea or edema. She had normal blood pressure. The patient improved with potassium supplements and spironolactone therapy along with oral hypoglycemic agent. So we report this case with the review of literature.
