Metabolic alkalosis with multiple salt unbalance: an atypical onset of cystic fibrosis in a child

Dehydration with multiple salt abnormalities is frequently encountered in the paediatric emergency department, during acute illnesses complicated by loss of body fluids. Metabolic alkalosis is not a common finding in dehydrated children. The presence of unusual electrolyte unbalance, such as metabol...

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Bibliographic Details
Main Authors: Dimitri Poddighe, Lucia Castelli, Elena Virginia Comi, Ilaria Brambilla, Paola Bruni
Format: Article
Language:English
Published: Hygeia Press di Corridori Marinella 2017-12-01
Series:Journal of Pediatric and Neonatal Individualized Medicine
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Online Access:https://www.jpnim.com/index.php/jpnim/article/view/536
Description
Summary:Dehydration with multiple salt abnormalities is frequently encountered in the paediatric emergency department, during acute illnesses complicated by loss of body fluids. Metabolic alkalosis is not a common finding in dehydrated children. The presence of unusual electrolyte unbalance, such as metabolic alkalosis, hyponatremia, hypochloremia and hypokalemia, without evidence of renal tubular defects, is named as pseudo-Bartter syndrome. It can occur in several clinical settings and, in infancy, it is described as a potential complication of cystic fibrosis. We report a case of pseudo-Bartter syndrome representing the onset of cystic fibrosis in childhood.
ISSN:2281-0692