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Furosemide induced medullary nephrocalcinosis mimicking Bartter syndrome / 영남의대학술지
Yeungnam University Journal of Medicine ; : 21-24, 2014.
Artigo em Coreano | WPRIM | ID: wpr-99058
ABSTRACT
Clinical presentation of Bartter syndrome is similar to surrepitious vomiting or use of diuretics. Therefore, precise differential diagnosis of Bartter syndrome is crucial. We report a case of medullary nephrocalcinosis (MNC) induced by furosemide mimicking Bartter syndrome. A 55-year-old female patient visited our hospital with renal dysfunction on basis of hypokalemia and metabolic alkalosis. She had no history of hypertension or drug use except allopurinol and atorvastatin. She did not complain of nausea or vomiting on presentation and the serum magnesium level was normal. We performed ultrasonography, that showed MNC. For these reasons, we suspected Bartter syndrome and corrected the electrolyte imbalance. During outpatient follow up, we found that the patient had been taking 400 mg of furosemide daily for 30 years. We could diagnose furosemide induced MNC, and recommended to her to reduce the amount of furosemide.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pacientes Ambulatoriais / Síndrome de Bartter / Vômito / Alopurinol / Seguimentos / Ultrassonografia / Diagnóstico Diferencial / Diuréticos / Alcalose / Atorvastatina Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Yeungnam University Journal of Medicine Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pacientes Ambulatoriais / Síndrome de Bartter / Vômito / Alopurinol / Seguimentos / Ultrassonografia / Diagnóstico Diferencial / Diuréticos / Alcalose / Atorvastatina Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Yeungnam University Journal of Medicine Ano de publicação: 2014 Tipo de documento: Artigo