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  4. Pseudohypoaldosteronism type i

Pseudohypoaldosteronism type i

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  • Soniaundefined Offline
    Soniaundefined Offline
    Sonia
    wrote on last edited by admin
    #1

    Pseudohypoaldosteronism type I is a rare hereditary disorder in which the kidney tubules retain too much potassium and excrete too much sodium and water, leading to low blood pressure.
    (See also Introduction to Disorders of Kidney Tubules.)
    There are two types of pseudohypoaldosteronism:

    Type I, which has 2 subtypes and is characterized by low blood pressure
    Type II, which is very rare (not discussed here)

    Two different gene mutations can cause pseudohypoaldosteronism type I. In both, the body does not respond to the hormone aldosterone , leading to the excretion of too much sodium and water. However, the two types differ. In one type excess sodium is excreted only by the kidneys. In the other, more severe form, excess salt is also lost through sweat and from other organs.
    Children with the severe form may have symptoms similar to those of cystic fibrosis, such as frequent respiratory tract infections. They may have

    Dehydration, possibly causing nausea and vomiting
    Fatigue
    Muscle weakness
    Low blood pressure, sometimes with dizziness and fainting

    Sodium loss through sweat may cause a rash of very small red bumps.
    The less severe form may cause few symptoms other than those of low blood pressure. In the less severe form, the disorder may resolve as children age.

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