Metabolic mimicry of Bartter's syndrome by covert vomiting. Utility of urinary chloride determinations

Johannes D Veldhuis, C. Wayne Bardin, Laurence M. Demers

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Bartter's syndrome characteristically exhibits the constellation of hypokalemic alkalosis with moderate kaliuresis, normotensive hyperreninemia, hyperaldosteronism, urinary hyperexcretion of prostaglandin E (PGE) and vascular hyporesponsivity to pressor agents. We describe precise biochemical mimicry of these metabolic abnormalities in a patient with surreptitious repetitive vomiting, in whom simple urinary chloride excretion data subsequently excluded the diagnosis of Bartter's syndrome.

Original languageEnglish (US)
Pages (from-to)361-363
Number of pages3
JournalThe American journal of medicine
Volume66
Issue number2
DOIs
StatePublished - 1979
Externally publishedYes

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Bartter Syndrome
Vomiting
Chlorides
Alkalosis
Hyperaldosteronism
Prostaglandins E
Blood Vessels

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Metabolic mimicry of Bartter's syndrome by covert vomiting. Utility of urinary chloride determinations. / Veldhuis, Johannes D; Bardin, C. Wayne; Demers, Laurence M.

In: The American journal of medicine, Vol. 66, No. 2, 1979, p. 361-363.

Research output: Contribution to journalArticle

Veldhuis, Johannes D ; Bardin, C. Wayne ; Demers, Laurence M. / Metabolic mimicry of Bartter's syndrome by covert vomiting. Utility of urinary chloride determinations. In: The American journal of medicine. 1979 ; Vol. 66, No. 2. pp. 361-363.
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