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

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

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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
Issue number2
StatePublished - 1979
Externally publishedYes


ASJC Scopus subject areas

  • Nursing(all)

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