临床误诊误治2016，Vol.29Issue(11)：56-59,4.DOI:10.3969/j.issn.1002-3429.2016.11.019
误诊为甲状旁腺功能减退症的Bartter综合征临床分析
Clinical Analysis of Bartter Syndrome Misdiagnosed as Hypoparathyroidism
刘长江 1徐美华 1王霄 1殷玉磊 1王沛 1饶小胖1
作者信息
- 1. 266109 山东 青岛,城阳人民医院内分泌科
- 折叠
摘要
Abstract
Objective To investigate clinical characteristics, key points of diagnosis and treatment, misdiagnosed reasons and prevention measures of Bartter syndrome ( BS) . Methods Clinical data of 1 BS patients misdiagnosed as having hypoparathyroidism for a long-term was retrospectively analyzed. Results The patient was admitted for repeated tetany and malaise for 25 year, and was misdiagnosed as having hypoparathyroidism for many times in other hospitals. The patient was admitted again for frequent tetany and fatigue in hand and foot. Sodium and potassium transport disorder obstructed by kidney tubules was considered due to normal level of parathyroid hormone complicated by multiple abnormal electrolyte, and then BS was confirmed after repeated hematuria electrolyte examination, blood renin, aldosterone examination and concentration dilu-tion test. The patient was discharged at 14d admission after condition was improved by supplement of potassium, magnesium and spironolactone therapy. Examination at discharging showed that blood potassium was 4. 1 mmol/L, and malaise was im-proved with tetany in hand and foot sometimes. The above treatments were continued during 1 year of follow-up after dis-charge, and examination showed that the blood potassium was 4. 0 mmol/L without tetany in hand and foot or obvious malaise. Conclusion BS is rare and easy to be misdiagnosed. Misdiagnosis and missed diagnosis can be decreased by improving un-derstanding of this disease, divergent thinking of diagnosis, performing medical examination timely and comprehensive analysis of condition.关键词
Bartter综合征/误诊/甲状旁腺功能减退症Key words
Bartter syndrome/Misdiagnosis/Hypoparathyroidism分类
医药卫生引用本文复制引用
刘长江,徐美华,王霄,殷玉磊,王沛,饶小胖..误诊为甲状旁腺功能减退症的Bartter综合征临床分析[J].临床误诊误治,2016,29(11):56-59,4.
