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| 성인에서 발견된 Bartter씨 증후군 1예 |
| 송재순 , 신준재 , 유계화 , 이현경 , 차왕기 , 권기현 , 소용선 , 김종순 , 조종태 |
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| Abstract |
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Bartter's syndrome is characterized by hypoka- lemia 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. |
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