Atypical Presentation of Classical Bartter Syndrome as a Case of Chronic Diarrhea and Failure to Thrive

Abstract

The classical Bartter syndrome is an uncommon tubular disorder of autosomal recessive inheritance, characterized by early childhood onset of polyuria, polydipsia, vomiting, dehydration, constipation and salt craving habit. The long-term outlook for patients with Bartter syndrome is not certain. If not properly treated, it may lead to failure to thrive and growth retardation. We herein report a case of 18-month-old girl child who presented chronic diarrhea and failure to thrive and then was diagnosed as a case of classical Bartter syndrome. She was successfully treated with potassium supplementation and ibuprofen therapy.

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A. Mohanty, D. Pradhan, B. Meher and P. Sivraj, "Atypical Presentation of Classical Bartter Syndrome as a Case of Chronic Diarrhea and Failure to Thrive," Open Journal of Nephrology, Vol. 3 No. 4, 2013, pp. 220-222. doi: 10.4236/ojneph.2013.34038.

Conflicts of Interest

The authors declare no conflicts of interest.

References

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http://dx.doi.org/10.1007/s00467-006-0113-7
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http://dx.doi.org/10.4103/0971-4065.73455
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[8] F. C. Bartter, P. Pronove, J. R. Gill and R. C. MacCardle (with tech. assistance of Diller E), “Hyperplasia of the Juxtraglomerular Complex with Hyperaldosteronism and Hypokalemic Alkalosis. A New Syndrome,” The American Journal of Medicine, Vol. 33, No. 6, 1962, pp. 811-828. http://dx.doi.org/10.1016/0002-9343(62)90214-0
[9] W. Proesmans, “Threading through the Mizmaze of Bartter Syndrom,” Pediatric Nephrology, Vol. 21, No. 7, 2006, pp. 896-902.
http://dx.doi.org/10.1007/s00467-006-0113-7
[10] J. Rodrígu-Soriano, “Bartter and Related Syndromes; the Puzzle Is Almost Solved,” Pediatric Nephrology, Vol. 12, No. 4, 1998, pp. 315-327.
http://dx.doi.org/10.1007/s004670050461
[11] I. Kurtz, “Molecular Pathogenesis of Bartter’s and Gitelman’s Syndromes,” Kidney International, Vol. 54, No. 4, 1998, pp. 1396-1410.
http://dx.doi.org/10.1046/j.1523-1755.1998.00124.x
[12] K. Sampathkumar, U. Muralidharan, A. Kannan, M. Ramakrishnan and R. Ajeshkumar, “Childhood Bartter’s Syndrome: An Indian Case Series,” Indian Journal of Nephrology, Vol. 20, No. 4, 2010, pp. 207-210.
http://dx.doi.org/10.4103/0971-4065.73455
[13] P. Samayam, B. R. Chander and V. R. S. Reddy, “An Unusual Cause of Failure to Thrive in a Child,” The National Medical Journal of India, Vol. 24, No. 2, 2011, pp. 86-87.
[14] P. S. Kumar, M. Deendayalan, L. Janakiraman and M. Vijakumar, “Neonatal Batter Syndrome,” Indian Pediatrics, Vol. 43, No. 8, 2006, pp. 735-737.

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