Pseudo-Bartter syndrome

Tdnissen, R., Knntz, H.-D., May, B. Pseudo-Bartter-Syndrom - medi-kamentos induzierter Aldosteronismus. Med. Welt 1986 37 1437-1439... 

Marty H. Pseudo-Bartter Syndrom bei Diuretika-Abusus. [Pseudo-Bartter syndrome in diuretics abuse.] Schweiz Med Wochenschr 1985 115(7) 250-2. 

Habitual, usually secretive, abuse of laxatives is much more common in women than in men and there is overlap with the anorectic/bulimic sjmdrome. Abuse of irritant agents such as senna and cascara have been the commonest varieties (SED-10, 704), but many proprietary laxatives have been abused. Abuse can lead to a condition characterized by chronic diarrhea, hjq)okalemia, and fluid depletion. The features also include hjq)omagnesemia, hjq)ocalcemia, and hjq)oalbuminemia, with thirst, lassitude, weight loss, edema, and occasionally osteomalacic bone pain and clubbing. In one small series of cases of laxative abusers, pseudo-Bartter s syndrome was induced the com-phcations included confusion, convulsions, muscle weakness (with or without paralysis or rhabdomyolysis), and... 

Meyers AM, Feldman C, Sonnekus MI, Ninin DT, MargoUus LP, WhaUey NA. Chronic laxative abusers with pseudo-idiopathic oedema and autonomous pseudo-Bartter s syndrome. A spectrum of metabolic madness, or new lights on an old disease S Afr Med J 1990 78(11) 631-6. 

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