calciuria in type 1 and 2. Hypomagnesemia is seen in minority. Urinary levels of chloride are also very much elevated which helps in differentiating this picture from chronic vomiting and… Click to show full abstract
calciuria in type 1 and 2. Hypomagnesemia is seen in minority. Urinary levels of chloride are also very much elevated which helps in differentiating this picture from chronic vomiting and cystic fibrosis. The tubular defect in Bartter or Gittlemann syndrome cannot be corrected [6], but with careful fluid and electrolyte management, long term prognosis is good. We treated the child with proper fluid and electrolyte correction following which hyperkalemia improved. The potassium levels normalised after a period of eight days without any therapy for potassium corrections except for restriction. Urinary electrolytes continued to remain elevated. The child was discharged in a stable condition after establishing oral feeds.
               
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