In 1963 Liddle et al.1 described a disorder that simulated primaryaldosteronism, characterized by severe hypertension and hypokalemiabut with negligible secretion of aldosterone. They theorizedthat this was "a disorder in which the renal tubules transportions with such abnormal facility that the end result simulatesthat of a mineralocorticoid excess." We describe a woman withthis syndrome (the index case1) in whom renal failure eventuallydeveloped and who received a cadaveric renal transplant at ourinstitution in 1989. Her disorder resolved after transplantation,with normalization of the aldosterone and renin responses tosalt restriction. The woman's extended . . . [Full Text of this Article]
Case Report
Methods
Results
Discussion
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From the Departments of Medicine (M.B.-V., J.J.C., D.G.W.) and Physiology (D.G.W.), the General Clinical Research Center (J.J.C.), and the Nephrology Research and Training Center (M.B.-V., J.J.C., D.G.W.), University of Alabama at Birmingham, and the Veterans Affairs Medical Center (D.G.W.), both in Birmingham, Ala. Presented in preliminary form at the 25th Annual Meeting of the American Society of Nephrology, Baltimore, November 15-18, 1992 (J Am Soc Nephrol 1992;3:517a. abstract).
Address reprint requests to Dr. Warnock at the Division of Nephrology, University of Alabama at Birmingham, UAB Station, Birmingham, AL 35294-0007.
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