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 OJNeph  Vol.3 No.4 , December 2013
Atypical Presentation of Classical Bartter Syndrome as a Case of Chronic Diarrhea and Failure to Thrive
Abstract: The classical Bartter syndrome is an uncommon tubular disorder of autosomal recessive inheritance, characterized by early childhood onset of polyuria, polydipsia, vomiting, dehydration, constipation and salt craving habit. The long-term outlook for patients with Bartter syndrome is not certain. If not properly treated, it may lead to failure to thrive and growth retardation. We herein report a case of 18-month-old girl child who presented chronic diarrhea and failure to thrive and then was diagnosed as a case of classical Bartter syndrome. She was successfully treated with potassium supplementation and ibuprofen therapy.
Cite this paper: A. Mohanty, D. Pradhan, B. Meher and P. Sivraj, "Atypical Presentation of Classical Bartter Syndrome as a Case of Chronic Diarrhea and Failure to Thrive," Open Journal of Nephrology, Vol. 3 No. 4, 2013, pp. 220-222. doi: 10.4236/ojneph.2013.34038.
References

[1]   F. C. Bartter, P. Pronove, J. R. Gill and R. C. MacCardle (with tech. assistance of Diller E), “Hyperplasia of the Juxtraglomerular Complex with Hyperaldosteronism and Hypokalemic Alkalosis. A New Syndrome,” The American Journal of Medicine, Vol. 33, No. 6, 1962, pp. 811-828. http://dx.doi.org/10.1016/0002-9343(62)90214-0

[2]   W. Proesmans, “Threading through the Mizmaze of Bartter Syndrom,” Pediatric Nephrology, Vol. 21, No. 7, 2006, pp. 896-902.
http://dx.doi.org/10.1007/s00467-006-0113-7

[3]   J. Rodrígu-Soriano, “Bartter and Related Syndromes; the Puzzle Is Almost Solved,” Pediatric Nephrology, Vol. 12, No. 4, 1998, pp. 315-327.
http://dx.doi.org/10.1007/s004670050461

[4]   I. Kurtz, “Molecular Pathogenesis of Bartter’s and Gitelman’s Syndromes,” Kidney International, Vol. 54, No. 4, 1998, pp. 1396-1410.
http://dx.doi.org/10.1046/j.1523-1755.1998.00124.x

[5]   K. Sampathkumar, U. Muralidharan, A. Kannan, M. Ramakrishnan and R. Ajeshkumar, “Childhood Bartter’s Syndrome: An Indian Case Series,” Indian Journal of Nephrology, Vol. 20, No. 4, 2010, pp. 207-210.
http://dx.doi.org/10.4103/0971-4065.73455

[6]   P. Samayam, B. R. Chander and V. R. S. Reddy, “An Unusual Cause of Failure to Thrive in a Child,” The National Medical Journal of India, Vol. 24, No. 2, 2011, pp. 86-87.

[7]   P. S. Kumar, M. Deendayalan, L. Janakiraman and M. Vijakumar, “Neonatal Batter Syndrome,” Indian Pediatrics, Vol. 43, No. 8, 2006, pp. 735-737.

[8]   F. C. Bartter, P. Pronove, J. R. Gill and R. C. MacCardle (with tech. assistance of Diller E), “Hyperplasia of the Juxtraglomerular Complex with Hyperaldosteronism and Hypokalemic Alkalosis. A New Syndrome,” The American Journal of Medicine, Vol. 33, No. 6, 1962, pp. 811-828. http://dx.doi.org/10.1016/0002-9343(62)90214-0

[9]   W. Proesmans, “Threading through the Mizmaze of Bartter Syndrom,” Pediatric Nephrology, Vol. 21, No. 7, 2006, pp. 896-902.
http://dx.doi.org/10.1007/s00467-006-0113-7

[10]   J. Rodrígu-Soriano, “Bartter and Related Syndromes; the Puzzle Is Almost Solved,” Pediatric Nephrology, Vol. 12, No. 4, 1998, pp. 315-327.
http://dx.doi.org/10.1007/s004670050461

[11]   I. Kurtz, “Molecular Pathogenesis of Bartter’s and Gitelman’s Syndromes,” Kidney International, Vol. 54, No. 4, 1998, pp. 1396-1410.
http://dx.doi.org/10.1046/j.1523-1755.1998.00124.x

[12]   K. Sampathkumar, U. Muralidharan, A. Kannan, M. Ramakrishnan and R. Ajeshkumar, “Childhood Bartter’s Syndrome: An Indian Case Series,” Indian Journal of Nephrology, Vol. 20, No. 4, 2010, pp. 207-210.
http://dx.doi.org/10.4103/0971-4065.73455

[13]   P. Samayam, B. R. Chander and V. R. S. Reddy, “An Unusual Cause of Failure to Thrive in a Child,” The National Medical Journal of India, Vol. 24, No. 2, 2011, pp. 86-87.

[14]   P. S. Kumar, M. Deendayalan, L. Janakiraman and M. Vijakumar, “Neonatal Batter Syndrome,” Indian Pediatrics, Vol. 43, No. 8, 2006, pp. 735-737.

 
 
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