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American Journal of the Medical Sciences:
Case Reports

A Patient with Sodium- and Potassium-Losing Nephropathy

Fulop, Milford MD

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Abstract

A young man with salt-losing nephropathy had the unusual coexistence of hypokalemia caused by secondary hyperaldosteronism. When his NaCl intake was supplemented by 12 g/day (205 mmol), hyperaldosteronism was suppressed and so were his urinary K+ wasting, hypokalemia, and episodic falling, during an extended follow-up. His findings are compared and contrasted with those in other reported patients with renal salt wasting, and also those in patients with Gitelman and Bartter syndromes.

© Copyright 2003 Southern Society for Clinical Investigation

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