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Bartter's Syndrome with Short Stature: a rare case report

Taral Kesharani
Department of Paediatrics, Geetanjali Medical College & Hospital, Udaipur, Rajasthan

Sanjay Mandot
Department of Paediatrics, Geetanjali Medical College & Hospital, Udaipur, Rajasthan

Bartter syndrome is a rare inherited salt-losing renal tubular disorder characterized by secondary hyperaldosteronism with hypokalemic and hypochloremic metabolic alkalosis and low to normal blood pressure. The primary pathogenic mechanism is defective salt reabsorption predominantly in the thick ascending limb of the loop of Henle. A 10-year-old male child came to Geetanjali Hospital with complaints of excessive urination (polyuria) and not gaining height and weight [weight and hight both less than 3rd centile]. On investigation metabolic alkalosis, hypochloraemia, hypokalaemia with normal magnesium level, hypotonic urine, high urinary calcium/creatinine ratio, and hypercalciuria were found. Early recognition and treatment are crucial for these children. Bartter syndrome patients need huge amount of potassium supplementation along with potassium sparing agent to maintain electrolyte imbalance.

Key words : Bartter syndrome, Salt-losing renal tubular disorder, Short stature

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