DSpace university logo mark
Advanced Search
Japanese | English 

NAOSITE : Nagasaki University's Academic Output SITE > School of Medicine > Bulletin > Acta Medica Nagasakiensia > Volume 49, No. 3 >

An Angiotensin Receptor Blocker and Spironolactone Enabled A Withdrawal from Furosemide and KCl in A Patient with Pseudo-Bartter's Syndrome


File Description SizeFormat
acta49_03_107.pdf486.51 kBAdobe PDFView/Open

Title: An Angiotensin Receptor Blocker and Spironolactone Enabled A Withdrawal from Furosemide and KCl in A Patient with Pseudo-Bartter's Syndrome
Authors: Ashizawa, Naoto / Fukae, Satoki / Tanaka, Kyoei / Suzuki, Nobuaki / Seto, Shinji / Yano, Katsusuke
Issue Date: Sep-2004
Citation: Acta medica Nagasakiensia. 2004, 49(3), p.107-109
Abstract: A 30-year-old woman with pseudo-Bartter's syndrome was referred to our department because of hypokalemic symptoms caused by outrageous abuse of furosemide and by KCl infusion administered to compensate for it. As an attempt to break this vicious cycle, we first tried to change furosemide with azosemide, a long-lasting loop diuretics, to avoid acute excessive diuresis and excretion of potassium. Administration of losartan effectively attenuated the concentration of extremely activated plasma aldosterone. Administration of spironolactone reduced aldosterone breakthrough induced by losartan and the patient was released from both furosemide and KCl. Blocking renin-angiotensin-aldosterone system demonstrated to be an effective treatment for pseudo-Bartter's syndrome by the improvement of the total body potassium level which was decreased before treatment.
Keywords: Aldosteronebreakthrough / Angiotensinreceptorblocker / Furosemide / Pseudo-Bartter'ssyndrome / Totalbodypotassium
URI: http://hdl.handle.net/10069/9275
ISSN: 00016055
Relational Links: http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/49.107
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 49, No. 3

Citable URI : http://hdl.handle.net/10069/9275

All items in NAOSITE are protected by copyright, with all rights reserved.

 

Valid XHTML 1.0! Copyright © 2006-2015 Nagasaki University Library - Feedback Powerd by DSpace