A CLINICAL CASE OF PSEUDO - BARTTER SYNDROMEIN A CHILD OF 11 MONTHS

Abstract

 with cystic fibrosis. PSB is one of the serious complications and, in some cases, is a manifestation of CF disease with a
possible fatal outcom. PSB manifests mainly in children in the first year of life, is characterized by renin hypersecretion,
hyperaldosteronism, but without the development of arterial hypertension, in contrast to the true Bartter's syndrome, in which salt
loss with sweat is normal, but salt metabolism in the renal tubules is impaired. Chronic loss of salts is aggravated by increased
sweating during the hot season, with fever, vomiting, diarrhea and insufficient intake of sodium from food. The frequency of this
syndrome among patients with CF, according to a number of authors, is 12–16%. Symptoms atypical for classical CF:
progressive hypotension, delayed weight gain or weight loss with an adequate dose of enzymes, repeated regurgitation or
vomiting, diarrhea or stool retention associated with intestinal paresis against the background of electrolyte disturbances creates
serious difficulties for the diagnosis of CF and the implementation of rational therapy, often leads to life-threatening conditions
requiring intensive care, and sometimes to a rapid death.
Awareness of doctors and parents, control of electrolyte levels at the first symptoms of the disease allow you to quickly
take preventive measures aimed at the development of metabolic disorders, followed by the prevention of a critical condition of a
life-threatening child.
The article presents a case of an atypical course of cystic fibrosis in a young child. Shown, on a specific example, the
difficulty of diagnosing this disease.
The information presented in the article is useful for: neonatologists, pediatricians, general practitioners, pulmonologists,
gastroenterologists, nutritionists.