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 CASE REPORT
Year : 2010  |  Volume : 20  |  Issue : 4  |  Page : 207-210

Childhood Bartter's syndrome: An Indian case series


1 Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai - 625 107, India
2 Department of Pediatrics, Meenakshi Mission Hospital and Research Centre, Madurai - 625 107, India

Correspondence Address:
K Sampathkumar
36, Radhakrishnan Street, Bibikulam, Madurai - 625 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.73455

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This is a retrospective analysis of children diagnosed with Bartter's syndrome (BS) between 2001 and 2009 in our hospital. Seven children (six males) were diagnosed with BS. The mean age at presentation was 6.5 ± 4.9 months. The presenting features were failure to thrive,vomiting, polyuria, and dehydration. All children were normotensive at admission. The children exhibited alkalemia (pH, 7.58 ± 0.03), hypokalemia (serum potassium, 2.62 ± 0.47 mEq/l), hypochloremia (serum chloride, 82.83 + 16.7 mEq/l), and hyponatremia (serum sodium, 126.85 ± 3.56 mEq/l). Disproportionate urinary wasting of sodium, potassium, and chloride were seen. The diagnosis was confirmed by elevated serum levels of both renin and aldosterone with normotension. Indomethacin or ibuprofen therapy resulted in marked improvement in general condition of these children. In conclusion, a high index of suspicion should be entertained in children with failure to thrive to diagnose BS. Therapy with NSAIDs leads to marked improvement in the general well being.






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