HIPERALDOSTERONISMO PRIMARIO FISIOPATOLOGIA PDF

Liddle's syndrome: late diagnosis of a rare cause of arterial hypertension. Diniz 5. Objective: The aim of this article is to highlight the importance of a rare disease that causes severe arterial hypertension in children. It is important to advise pediatricians to measure arterial pressure in children in order to avoid late diagnosis and renal insufficiency. The diagnosis was established based on the clinical picture associated with the presence of chronic hypokalemia, increase of urinary potassium excretion with sodium retention and reduction of renin plasma activity, and circulating levels of angiotensin II and aldosterone. In a spite of the initial therapeutic response to triamterene, the patient developed progressive renal failure due to the delay in the diagnosis and the poorly controlled hypertension.

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Liddle's syndrome: late diagnosis of a rare cause of arterial hypertension. Diniz 5. Objective: The aim of this article is to highlight the importance of a rare disease that causes severe arterial hypertension in children. It is important to advise pediatricians to measure arterial pressure in children in order to avoid late diagnosis and renal insufficiency.

The diagnosis was established based on the clinical picture associated with the presence of chronic hypokalemia, increase of urinary potassium excretion with sodium retention and reduction of renin plasma activity, and circulating levels of angiotensin II and aldosterone.

In a spite of the initial therapeutic response to triamterene, the patient developed progressive renal failure due to the delay in the diagnosis and the poorly controlled hypertension. Some aspects regarding physiopathology, diagnosis and treatment are discussed. Relato de caso. A familial renal disorder simulating primary aldosteronism but with negligible aldosterone secretion.

Trans Assoc Am Physicians ; Warnock DG. Liddle syndrome: An autosomal dominant form of human hypertension. Kidney Int ; Brief report: Liddle's syndrome revised - a disorder of sodium reabsorption in the distal tubule. N Engl J Med ; Liddle's syndrome, an uncommon form of hyporeninemic hypoaldosteronism: functional and histopathological studies.

J Urol ; The effect of triamterene and sodium intake on renin, aldosterone, and erythrocyte sodium transport in Liddle's syndrome. J Clin Endocrinol Metab ; Liddle's syndrome: a year follow-up of the youngest diagnosed case. Pediatr Nephrol ; Liddle syndrome. J Pediatr ; Abnormal membrane sodium transport in Liddle's syndrome. J Clin Invest ; Low peripheral plasma renin activity as a critical marker in pediatric hypertension.

Low renin hypertension in the next millennium. Semin Nephrol ; Eduardo A. Oliveira - Professor-Adjunto, Doutor. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal. Carlos Gomes, cj. How to cite this article.

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Hiperaldosteronismo em Felinos

Rodrigo P. Pedrosa I ; Eduardo M. Drager II. Outras coortes que se seguiram mostraram resultados semelhantes aos descritos 17,

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Participation of voltage-dependet calcium channels in the regulation of adrenal glomerulosa function by angiotensin II and potassium. Endocrinology, v. ASH, R. Primary hyperaldosteronism in the cat: a series of 13 cases. Journal of Feline Medicine and Surgery, 7, , Veterinary Medicine, 3 , ,

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Primary hyperaldosteronism is the primary cause of secondary hypertension. Its initial presentation has changed so that is usually manifests with normokalemia as reflection of a milder hormonal forms of the disease idiopathic bilateral adrenal hyperplasia.. We report a case of primary hyperaldosteronism in a yearold man without hypertension who presented with muscular weakness. The kalemia was 2. The diagnosis requires confirmation by a salt loading or fludrocortisone test. Characterization of subtypes is achieved by joint assessment of imaging and postural stimulation tests..

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