Biography
Biography: Ayse Pervanlar
Abstract
Bartter’s syndrome (BS) is a rare autosomal recessive syndrome that is characterized by hypochalemic metabolic alkalosis, high renin and aldosterone plasma levels, and high levels of prostoglandines in blood and urine. In this case we present a 5 months old female child admitted to our hospital with the complaints of vomiting, diarrhea and failure to thrive. On admission to our hospital the patient was mildly dehydrated and weight gain was detected 250g/month for the last two months. Blood counts, urea, creatinine, LFT, serum calcium, magnesium, phosphorous and thyroid function tests levels were normal but blood gas revealed metabolic alkalosis with hyponatraemia, hypokalaemia and hypochloraemia. Cystic fibrosis(CF) was eliminated by negative sweat test. After the fluid and electrolyte correction the patient was discharged. During the control polyclinic examination no weight gain was detected and laboratory findings revealed metabolic alkalosis with hyponatraemia, hypokalaemia and hypochloraemia with increased renin levels. Based on the clinical picture and laboratory data she was diagnosed as BS and started on oral KCL supplementations. Gradually child showed improvement at weight gain.