Case report: a rare cause of metabolic alkalosis

A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Noneth...

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Autores principales: Titan, Silvia M., Gebara, Otávio C.E., Callas, Silvia H.V., Hoff, Ana O., Hoff, Paulo M., Galvão, P.C.A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2011
Materias:
II. Clinical Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421598/
https://www.ncbi.nlm.nih.gov/pubmed/25984146
http://dx.doi.org/10.1093/ndtplus/sfr036
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author Titan, Silvia M.
Gebara, Otávio C.E.
Callas, Silvia H.V.
Hoff, Ana O.
Hoff, Paulo M.
Galvão, P.C.A.
author_facet Titan, Silvia M.
Gebara, Otávio C.E.
Callas, Silvia H.V.
Hoff, Ana O.
Hoff, Paulo M.
Galvão, P.C.A.
author_sort Titan, Silvia M.
collection PubMed
description A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Nonetheless, renin activity was low and aldosterone levels were normal. The metabolic alkalosis seen in this case was due to a rare cause, the ectopic adrenocorticotropic hormone syndrome. A literature review in the subject is presented.
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spelling pubmed-44215982015-05-15 Case report: a rare cause of metabolic alkalosis Titan, Silvia M. Gebara, Otávio C.E. Callas, Silvia H.V. Hoff, Ana O. Hoff, Paulo M. Galvão, P.C.A. NDT Plus II. Clinical Reports A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Nonetheless, renin activity was low and aldosterone levels were normal. The metabolic alkalosis seen in this case was due to a rare cause, the ectopic adrenocorticotropic hormone syndrome. A literature review in the subject is presented. Oxford University Press 2011-06 2011-03-29 /pmc/articles/PMC4421598/ /pubmed/25984146 http://dx.doi.org/10.1093/ndtplus/sfr036 Text en © The Author 2011. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle II. Clinical Reports
Titan, Silvia M.
Gebara, Otávio C.E.
Callas, Silvia H.V.
Hoff, Ana O.
Hoff, Paulo M.
Galvão, P.C.A.
Case report: a rare cause of metabolic alkalosis
title Case report: a rare cause of metabolic alkalosis
title_full Case report: a rare cause of metabolic alkalosis
title_fullStr Case report: a rare cause of metabolic alkalosis
title_full_unstemmed Case report: a rare cause of metabolic alkalosis
title_short Case report: a rare cause of metabolic alkalosis
title_sort case report: a rare cause of metabolic alkalosis
topic II. Clinical Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421598/
https://www.ncbi.nlm.nih.gov/pubmed/25984146
http://dx.doi.org/10.1093/ndtplus/sfr036
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