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Diagnostic and management considerations in pseudohypoaldosteronism type 1b

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Pseudohypoaldosteronism type 1B is a rare autosomal recessive disorder caused by dysfunction of amiloride-sensitive epithelial sodium channels (ENaCs). We present the case of a neonate with cardiogenic shock after cardiac… Click to show full abstract

Pseudohypoaldosteronism type 1B is a rare autosomal recessive disorder caused by dysfunction of amiloride-sensitive epithelial sodium channels (ENaCs). We present the case of a neonate with cardiogenic shock after cardiac arrest due to profound hyperkalaemia. Genetic testing revealed a novel homozygous variant in SCNNIA. We review diagnostic considerations including the molecular mechanisms of disease, discuss treatment approaches and highlight the possible significance of the diversity of pulmonary ENaCs.

Keywords: considerations pseudohypoaldosteronism; pseudohypoaldosteronism type; diagnostic management; pseudohypoaldosteronism; management considerations

Journal Title: BMJ Case Reports
Year Published: 2022

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