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Original Article
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Volume 330:178-181 January 20, 1994 Number 3
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Liddle's Syndrome Revisited -- A Disorder of Sodium Reabsorption in the Distal Tubule
Mauricio Botero-Velez, John J. Curtis, and David G. Warnock

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In 1963 Liddle et al.1 described a disorder that simulated primary aldosteronism, characterized by severe hypertension and hypokalemia but with negligible secretion of aldosterone. They theorized that this was "a disorder in which the renal tubules transport ions with such abnormal facility that the end result simulates that of a mineralocorticoid excess." We describe a woman with this syndrome (the index case1) in whom renal failure eventually developed and who received a cadaveric renal transplant at our institution in 1989. Her disorder resolved after transplantation, with normalization of the aldosterone and renin responses to salt restriction. The woman's extended . . . [Full Text of this Article]

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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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