Reversible secondary pseudohypoaldosteronism due to pyelonephritis

被引:0
|
作者
Kenichi Maruyama
Hiroyuki Watanabe
Kazumichi Onigata
机构
[1] Division of Nephrology,
[2] Gunma Children's Medical Center,undefined
[3] 779 Shimohakoda,undefined
[4] Hokkitsu,undefined
[5] Gunma 377–8577,undefined
[6] Japan,undefined
[7] Department of Pediatrics,undefined
[8] Gunma University School of Medicine,undefined
[9] Maebashi,undefined
[10] Gunma,undefined
[11] Japan,undefined
来源
Pediatric Nephrology | 2002年 / 17卷
关键词
Urinary tract infection Hyponatremia Hyperkalemia Phimosis Neonate;
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学科分类号
摘要
We report a 5-week-old boy who developed severe hyponatremia and hyperkalemia secondary to acute pyelonephritis. The patient presented with non-specific signs, including poor appetite, failure to thrive, and dehydration. An endocrinological evaluation led to a diagnosis of pseudohypoaldosteronism. The patient had phimosis, but no congenital urinary tract malformations. Outflow obstruction secondary to the phimosis appears to have caused pyelonephritis, and renal inflammation decreased responsiveness to aldosterone transiently.
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页码:1069 / 1070
页数:1
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