Life threatening hyperkalemia in a neonate with pseudo-hypoaldosteronism.
Shehla Choudhry, Y Najam
Abstract
Shehla Choudhry, Y Najam
Abstract
Pseudohypoaldosteronism type 1 is a rare disorder characterized by renal resistance to aldosterone which may present with a salt wasting crisis in infancy. We report a neonate with hyponatremia, severe dehydration and refractory life threatening hyperkalemia who was treated with dietary sodium chloride supplementation, potassium binding resins and fluid replacement therapy which proved to be lifesaving.
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Pseudohypoaldosteronism type 1 is a rare disorder characterized by renal resistance to aldosterone which may present with a salt wasting crisis in infancy. We report a neonate with hyponatremia, severe dehydration and refractory life threatening hyperkalemia who was treated with dietary sodium chloride supplementation, potassium binding resins and fluid replacement therapy which proved to be lifesaving.
Key concepts: Hyperkalemia, Medicine, Hypoaldosteronism, Hyponatremia, Pseudohypoaldosteronism, Refractory (planetary science), Mineralocorticoid, Aldosterone