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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