Bartter syndrome natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
Main article: [[Bartter syndrome|Bartter syndrome]]
{{Bartter syndrome}}
{{Bartter syndrome}}



Revision as of 09:34, 1 August 2020

Main article: Bartter syndrome

Bartter syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Bartter syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Bartter syndrome natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Bartter syndrome natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Bartter syndrome natural history, complications and prognosis

CDC on Bartter syndrome natural history, complications and prognosis

Bartter syndrome natural history, complications and prognosis in the news

Blogs on Bartter syndrome natural history, complications and prognosis

Directions to Hospitals Treating Bartter syndrome

Risk calculators and risk factors for Bartter syndrome natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Tayyaba Ali, M.D.[2]

Overview

Natural History

  • Bartter Syndrome usually occurs in childhood. Patient presents with the history of:
    • Constipation
    • Growth failure. The rate of weight gain is much lower than that of other children of similar age and gender.
    • Increased urinary frequency. The patient needs to urinate more often than usual.
    • Low blood pressure
    • Kidney stones
    • Muscle cramping and weakness[1]

Complications

Kidney failure is a possible complication.

  • Bartter syndrome type I and type II are salt-wasting renal tubular disorders that are clinically characterized by polyhydramnios leading to premature delivery, marked polyuria, and a tendency towards nephrocalcinosis.[2]
  • Gallstones might represent a new complication of antenatal Bartter syndrome.[3]
  • Hypokalemia in Bartter syndrome can be exacerbated by electrolytes and fluid losses. Diarrhea, vomiting, alcohol abuse, cocaine, or other drugs result in electrolyte and fluid loss. Severe hypokalemia can lead to rhabdomyolysis, prolonged QT interval, life-threatening arrhythmia, syncope, and sudden death.[4][5]

Prognosis

  • The limited prognostic information available suggests that early diagnosis and appropriate treatment of infants and young children with classic Bartter Syndrome (type 3) may improve growth and perhaps neuro-intellectual development. On the other hand, sustained hypokalemia and hyperreninemia can cause progressive tubulointerstitial nephritis, resulting in end-stage renal disease (Kidney failure). With the early treatment of the electrolyte imbalances, the prognosis for patients with Classic Bartter Syndrome is good.
  • Patients with Bartter syndrome type I and II tend to present a satisfactory prognosis after a median follow-up of more than 10 years.[3]

References

  1. "Bartter syndrome: MedlinePlus Medical Encyclopedia".
  2. Seyberth HW (2008). "An improved terminology and classification of Bartter-like syndromes". Nat Clin Pract Nephrol. 4 (10): 560–7. doi:10.1038/ncpneph0912. PMID 18695706.
  3. 3.0 3.1 Puricelli E, Bettinelli A, Borsa N, Sironi F, Mattiello C, Tammaro F; et al. (2010). "Long-term follow-up of patients with Bartter syndrome type I and II". Nephrol Dial Transplant. 25 (9): 2976–81. doi:10.1093/ndt/gfq119. PMID 20219833.
  4. Hacihamdioglu DO, Fidanci K, Kilic A, Gok F, Topaloglu R (2013). "QT and JT dispersion and cardiac performance in children with neonatal Bartter syndrome: a pilot study". Pediatr Nephrol. 28 (10): 1969–74. doi:10.1007/s00467-013-2517-5. PMID 23760993.
  5. Scognamiglio R, Negut C, Calò LA (2007). "Aborted sudden cardiac death in two patients with Bartter's/Gitelman's syndromes". Clin Nephrol. 67 (3): 193–7. doi:10.5414/cnp67193. PMID 17390745.


Template:WikiDoc Sources