Document Detail


Potassium-wasting nephropathy secondary to chemotherapy simulating Bartter's syndrome.
MedLine Citation:
PMID:  6204737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with a potassium wasting nephropathy secondary to chemotherapy simulating Bartter's syndrome is described. A 64-year-old woman with diffuse histiocytic lymphoma developed persistent hypokalemia following a course of Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), vincristine, and prednisone (CHOP)-Bleo. The diagnosis of a functional Bartter's syndrome was concluded following evaluation of serial plasma renins, aldosterone levels, and urinary electrolytes. Evidence is suggestive that a subpopulation of patients receiving chemotherapy may develop a functional Bartter's syndrome, and it is important to consider this diagnosis in patients who develop hypokalemia subsequent to chemotherapy introduction.
Authors:
I H Lieber; S D Stoneburner; M Floyd; W L McGuffin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cancer     Volume:  54     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-09-06     Completed Date:  1984-09-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  808-10     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aldosterone / blood
Antineoplastic Combined Chemotherapy Protocols / adverse effects*,  therapeutic use
Bartter Syndrome / blood,  chemically induced*,  urine
Bleomycin / administration & dosage,  adverse effects
Cyclophosphamide / administration & dosage,  adverse effects
Diagnosis, Differential
Doxorubicin / administration & dosage,  adverse effects
Female
Humans
Hyperaldosteronism / chemically induced*
Hypokalemia / blood,  chemically induced*,  urine
Lymphoma, Large B-Cell, Diffuse / blood,  drug therapy,  urine
Magnesium / urine
Middle Aged
Prednisone / administration & dosage,  adverse effects
Renin / blood
Vincristine / administration & dosage,  adverse effects
Chemical
Reg. No./Substance:
0/CHOP-B protocol; 11056-06-7/Bleomycin; 23214-92-8/Doxorubicin; 50-18-0/Cyclophosphamide; 52-39-1/Aldosterone; 53-03-2/Prednisone; 57-22-7/Vincristine; 7439-95-4/Magnesium; EC 3.4.23.15/Renin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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