Case report: a rare cause of metabolic alkalosis

被引：0
|
作者：
Titan, Silvia M. [1 ]
Gebara, Otavio C. E. [2 ]
Callas, Silvia H. V. [2 ]
Hoff, Ana O. [3 ]
Hoff, Paulo M. [2 ]
Galvao, P. C. A. [2 ]
机构：
[1] Univ Sao Paulo, Med Sch, Hosp Clin, Nephrol Div, Sao Paulo, Brazil
[2] Hosp Sirio Libanes, Sao Paulo, Brazil
[3] Fleury Lab, Endocrinol Div, Sao Paulo, Brazil
来源：
CLINICAL KIDNEY JOURNAL | 2011年 / 4卷 / 03期
关键词：
ectopic adrenocorticotropic hormone syndrome; hypokalaemia; metabolic alkalosis;
D O I：
10.1093/ndtplus/sfr036
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Nonetheless, renin activity was low and aldosterone levels were normal. The metabolic alkalosis seen in this case was due to a rare cause, the ectopic adrenocorticotropic hormone syndrome. A literature review in the subject is presented.
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页码：164 / 166
页数：3
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