PMID: 9630034Jun 18, 1998Paper

Neonatal Bartter syndrome: spontaneous resolution of all signs and symptoms

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
S C ReinalterW Proesmans

Abstract

This baby boy was born after a pregnancy complicated by severe polyhydramnios at a gestational age of 28 weeks. Analysis of the amniotic fluid had shown a high chloride content, but normal concentrations of sodium, potassium, and calcium. After birth he displayed extreme polyuria, severe renal sodium and chloride loss, and marked hypercalciuria. Five weeks after birth, his sodium chloride loss turned into renal potassium loss, along with a marked decrease in urine output. All these features are characteristic of the neonatal variant of Bartter syndrome. He was discharged after 11 weeks with oral supplements of sodium chloride, potassium gluconate, and 500 ml of fluid. The follow-up for a period of 6 years showed a surprising evolution: he has no hypokalemic alkalosis, no polyuria, and no hypercalciuria; growth and development are within the normal ranges and, at the time of writing, he is a healthy boy needing no medication and with no medical problems whatsoever.

Citations

Mar 6, 2002·Indian Journal of Pediatrics·Mamta N MuranjanRamesh C Parmar
Apr 20, 2011·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Hannsjörg W Seyberth, Karl P Schlingmann
Jul 31, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·F X FloresD A Calhoun
Apr 21, 2012·International Journal of Pediatrics·Y Ramesh BhatK Sreelakshmi
Jul 17, 2015·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Hannsjörg W Seyberth
Jan 10, 2002·The American Journal of the Medical Sciences·A J Shaer
Jul 31, 2004·Acta Physiologica Scandinavica·S C ReinalterH W Seyberth
May 12, 2016·The New England Journal of Medicine·Nine V A M Knoers, René J Bindels
Apr 28, 2016·The New England Journal of Medicine·Kamel LaghmaniMartin Kömhoff
Mar 17, 2017·Journal of Molecular Biology·Anna K Lee, Patrick Ryan Potts
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Mar 30, 2018·Frontiers in Pediatrics·Michelle MeyerChristina Lo
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Mar 18, 2003·The Journal of Pediatrics·Gal FinerDaniel Landau
Aug 18, 2021·European Journal of Medical Genetics·Satoshi TakemoriYoichi Kobayashi

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