Surreptitious Habitual Vomiting Simulating Bartter's Syndrome

Emilio Ramos, Mary Hall Craggs, Laurence M. Demers

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

A patient with hypokalemic alkalosis, normotensive hyperreninism, hyperaldosteronism, increased levels of urinary and plasma prostaglandin E, and vascular hyporesponsivity to angiotensin II was thought to have Bartter's syndrome. Results of a kidney biopsy showed hyperplasia of the juxtaglomerular apparatus but no renomedullary cell hyperplasia. A 24-hour urine collection showed a low chloride level and no increase in the fractional chloride clearance, thus excluding Bartter's syndrome. Subsequent disclosure of surreptitious, habitual vomiting explained the hypokalemia.

Original languageEnglish (US)
Pages (from-to)1070-1072
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume243
Issue number10
DOIs
StatePublished - Mar 14 1980

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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