From the Department of Pediatrics, Imam Khomeini Hospital, Tehran University of Medical Sciences,
Abstract: (4063 Views)
A four day old female infant was admitted because of poor feeding, vomiting
and jaundice. Laboratory examination showed hyperkalemia, mild hyponatremia
and renal tubular acidosis type 4. Serum aldosterone and plasma renin activity were
elevated but serum cortisol, 17 -hydroxyprogesterone, ACTH, 24 hour urinary 17-
ketoste roid, pregnanetriol, renal function and sonogram were normal and hence
pseudohypoaldosteronism type I (pHA 1) was differentiated from congenital
adrenal hyperplasia (CAH) and other metabolic disorders. These abnormalities were
corrected with sodium chloride supplementation.
Type of Study:
case report |
Subject:
Pediatric