Bartter syndrome differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;" |'''Cyclical vomiting''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''Cyclical vomiting''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*In the case of cyclical vomiting for a variety of reasons, urine chloride concentration differs from that of Bartter syndrome. | *In the case of [[vomiting|cyclical vomiting]] for a variety of reasons, urine [[chloride]] concentration differs from that of [[Bartter syndrome]]. | ||
*This is usually less than 25 mEq/L in patients with chronic vomiting as a result of hypovolemia and hypochloremia. | *This is usually less than 25 mEq/L in patients with chronic [[vomiting]] as a result of [[hypovolemia]] and [[hypochloremia]]. | ||
*In Bartter syndrome the urine chloride concentration is typically much higher (usually greater than 40 mEq/L).<ref name="pmid425977">{{cite journal| author=Veldhuis JD, Bardin CW, Demers LM| title=Metabolic mimicry of Bartter's syndrome by covert vomiting: utility of urinary chloride determinations. | journal=Am J Med | year= 1979 | volume= 66 | issue= 2 | pages= 361-3 | pmid=425977 | doi=10.1016/0002-9343(79)90566-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=425977 }} </ref> | *In [[Bartter syndrome]] the urine [[chloride]] concentration is typically much higher (usually greater than 40 mEq/L).<ref name="pmid425977">{{cite journal| author=Veldhuis JD, Bardin CW, Demers LM| title=Metabolic mimicry of Bartter's syndrome by covert vomiting: utility of urinary chloride determinations. | journal=Am J Med | year= 1979 | volume= 66 | issue= 2 | pages= 361-3 | pmid=425977 | doi=10.1016/0002-9343(79)90566-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=425977 }} </ref> | ||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Hyperprostaglandin E syndrome''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''Hyperprostaglandin E syndrome''' | ||
Revision as of 10:27, 31 July 2020
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Bartter syndrome Microchapters |
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Bartter syndrome differential diagnosis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Tayyaba Ali, M.D.[2]
Overview
Differentiating Bartter syndrome from other Diseases
Bartter syndrome diagnosis should be differentiated from other diseases manifesting with hypokalemia and hypochloremic metabolic alkalosis.[1]
| Disease | Findings |
|---|---|
| Gitelman syndrome |
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| Diuretic abuse |
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| Cyclical vomiting |
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| Hyperprostaglandin E syndrome |
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| Familial hypomagnesemia with hypercalciuria/nephrocalcinosis |
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| Cystic fibrosis |
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| Gullner syndrome - Familial hypokalemic alkalosis with proximal tubulopathy |
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| Mineralocorticoid excess |
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| Activating mutations of the CaSR calcium-sensing receptor |
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| Hypomagnesemia |
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| Congenital chloride diarrhea |
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| Hypochloremic alkalosis |
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| Hypokalemia |
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References
- ↑ Gitelman HJ, Graham JB, Welt LG (1966). "A new familial disorder characterized by hypokalemia and hypomagnesemia". Trans Assoc Am Physicians. 79: 221–35. PMID 5929460.
- ↑ Scognamiglio R, Negut C, Calò LA (2007). "Aborted sudden cardiac death in two patients with Bartter's/Gitelman's syndromes". Clin Nephrol. 67 (3): 193–7. doi:10.5414/cnp67193. PMID 17390745.
- ↑ Urbanová M, Reiterová J, Stěkrová J, Lněnička P, Ryšavá R (2011). "DNA analysis of renal electrolyte transporter genes among patients suffering from Bartter and Gitelman syndromes: summary of mutation screening". Folia Biol (Praha). 57 (2): 65–73. PMID 21631963.
- ↑ Veldhuis JD, Bardin CW, Demers LM (1979). "Metabolic mimicry of Bartter's syndrome by covert vomiting: utility of urinary chloride determinations". Am J Med. 66 (2): 361–3. doi:10.1016/0002-9343(79)90566-7. PMID 425977.