TY - JOUR
T1 - Metabolic mimicry of Bartter's syndrome by covert vomiting. Utility of urinary chloride determinations
AU - Veldhuis, Johannes D.
AU - Bardin, C. Wayne
AU - Demers, Laurence M.
N1 - Funding Information:
101 IANNES D. VELDHIJIS. h1.D C. WAYNE BAKDIN. M.D.* LAURENCE M. DEMERS. PhD. I lershey. Pennsylrwnlu From the Department of Medicine. Division of Endocrinology. and the Department of Pathology, The Milton S. fkrshcy Medical Ccn~cr, The Pennsylvania State IJniversi& College of Medicine, Hershey. Pennsyl\xnia. This study was supported by NIH Grant HD05276. Requests for reprints should bc addrwxd to Dr. johanncs D. Veldhuis. Department of Medicine. Ikision of Endacrinology. Tho Milton 6. Hershey Mcd-ical Center, The Pennsylvania State IJniversity. College of Medicine. Hershey. Pennsylvania 17033. Manuscript accepted July 26. 1978. * Present address: Population Research Council, Rockcfellcr Universib. New York. New York 10021.
PY - 1979/2
Y1 - 1979/2
N2 - 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.
AB - 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.
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U2 - 10.1016/0002-9343(79)90566-7
DO - 10.1016/0002-9343(79)90566-7
M3 - Article
C2 - 425977
AN - SCOPUS:0018344362
SN - 0002-9343
VL - 66
SP - 361
EP - 363
JO - The American Journal of Medicine
JF - The American Journal of Medicine
IS - 2
ER -