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Journal of the Korean Society of Pediatric Nephrology 2012;16(1): 54-57. doi: https://doi.org/10.3339/jkspn.2012.16.1.54
방광요관역류 환자에서 일과성 거짓저알도스테론증을 보인 6개월 소아 1 례
김문규, 박성은, 이준호
1차의과학대학교 분당차병원 소아청소년과
2차의과학대학교 분당차병원 소아청소년과
3차의과학대학교 분당차병원 소아청소년과
Transient Pseudohypoaldosteronism in an Infant with Vesicoureteral Reflux
Moon-Kyu Kim, Sung-Eun Park, Jun-Ho Lee
1Departments of Pediatrics, CHA Bundang Medical Center, CHA University
2Departments of Pediatrics, CHA Bundang Medical Center, CHA University
3Departments of Pediatrics, CHA Bundang Medical Center, CHA University
Received: February 2, 2012;  Accepted: March 8, 2012.
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ABSTRACT
A 6-month-old boy with vesicoureteral reflux exhibited features of transient type 1 pseudohypoaldosteronism (PHA) in the course of urinary tract infection. PHA presents hyponatremia, hyperkalemia, and metabolic acidosis, accompanying with high urinary sodium, low potassium excretion, and high plasma aldosterone concentration. Severe electrolyte disturbance can occur in an infant with vesicoureteral reflux because of secondary PHA. Appropriate treatment of dehydration and sodium supplementation induces rapid improvement of electrolyte imbalance and metabolic acidosis resulting from secondary PHA associated with vesicoureteral reflux.
Key words: Failure to thrive | Infant | Pseudohypoaldosteronism | Vesicoureteral reflux
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