Document Detail


On the pathogenetic role of prostaglandins in Bartter's syndrome.
MedLine Citation:
PMID:  285569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients, one with Bartter's syndrome and one with severe abuse of diuretics, were investigated before and after indomethacin treatment. Before indomethacin the two patients showed a similar pattern of hypokalaemic alcalosis, secondary hyperaldosteronism, and increased urinary excretion of PGE2 and kallikrein. After a few days on peroral indomethacin medication the hypokalaemia was significantly improved, the plasma renin activity, and the urinary excretion of aldosterone, PGE2 and kallikrein were normalized in both patients. It is concluded that the beneficial effect of indomethacin cannot be used as a proof of prostaglandin overproduction as the primary defect in Bartter's syndrome.
Authors:
I Nielsen; B Hesse; P Christensen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta medica Scandinavica. Supplementum     Volume:  625     ISSN:  0365-463X     ISO Abbreviation:  Acta Med. Scand. Suppl.     Publication Date:  1979  
Date Detail:
Created Date:  1979-06-26     Completed Date:  1979-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370331     Medline TA:  Acta Med Scand Suppl     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  135-40     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aldosterone / urine
Bartter Syndrome / drug therapy,  metabolism*
Female
Humans
Hyperaldosteronism / metabolism*
Hypokalemia
Indomethacin / therapeutic use
Kallikreins / urine
Middle Aged
Prostaglandins / biosynthesis*
Prostaglandins E / urine
Renin / blood
Triamterene / therapeutic use
Chemical
Reg. No./Substance:
0/Prostaglandins; 0/Prostaglandins E; 396-01-0/Triamterene; 52-39-1/Aldosterone; 53-86-1/Indomethacin; EC 3.4.21.-/Kallikreins; EC 3.4.23.15/Renin

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


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