A case of severe systemic type 1 pseudohypoaldosteronism with 10 years of evolution

Author:

Coelho Almeida André1ORCID,Bastos Gomes Mariana2,Martins Sofia A.3,Marques Olinda P.4,Gomes Maria Miguel35,Antunes Ana M.3

Affiliation:

1. Department of Pediatrics and Neonatology , Centro Hospitalar de Trás-Os-Montes e Alto Douro , Vila Real , Portugal

2. Department of Pediatrics , Unidade Local de Saúde do Alto Minho , Viana do Castelo , Portugal

3. Pediatric Endocrinology and Diabetology Unit , Hospital de Braga , Braga , Portugal

4. Department of Endocrinology , Hospital de Braga , Braga , Portugal

5. School of Medicine , University of Minho , Braga , Portugal

Abstract

Abstract Type 1 pseudohypoaldosteronism (PHA-1) is a rare genetic syndrome of unresponsiveness to aldosterone and presents in the neonatal period with hyperkalemia, hyponatremia and metabolic acidosis. The mortality rate can be high and multidisciplinary team is needed for optimal management and adequate growth and development of these patients. Many genotype-phenotype correlations remain uncertain, and the description of the evolution of cases can increase scientific knowledge about the psychomotor development and severity of the different mutations. We report the follow-up for the last 10 years of a patient, with previously unrecognized genetic findings identified. In addition, we reviewed the literature and compared it with other pediatric cases.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health

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