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Case report
Type-5 Bartter syndrome presenting with metabolic seizure in adulthood
  1. Aqeel Hussain1,
  2. Mahendra Atlani2,
  3. Abhishek Goyal3 and
  4. Alkesh Kumar Khurana3
  1. 1Pulmonary, Critical Care and Sleep Medicine, All India Institute of Medical Science—Bhopal, Bhopal, Madhya Pradesh, India
  2. 2Nephrology, All India Institute of Medical Science—Bhopal, Bhopal, Madhya Pradesh, India
  3. 3Pulmonary Medicine, All India Institute of Medical Science—Bhopal, Bhopal, Madhya Pradesh, India
  1. Correspondence to Dr Abhishek Goyal; avi784{at}gmail.com

Abstract

Bartter syndrome is a very rare and heterogeneous disease with variable age of onset and symptom severity. Genotypically they have inherited disorders of the thick ascending limb in the renal tubular system, which manifest phenotypically as electrolyte imbalance due to loss of sodium, chloride and potassium. Gain of function mutations in the calcium-sensing receptor has been described in some patients with Bartter’s syndrome (type-5 Bartter syndrome or autosomal dominant hypocalcaemia with Bartter syndrome) associated with hypocalcaemia and hypercalciuria differentiating it from Gitelman syndrome. This phenotype has been reported to present in adulthood with metabolic abnormalities. We present a case of a middle-aged woman who presented with metabolic seizures and on evaluation was found to have profound electrolyte abnormalities which were corrected with supplements and led to the resolution of symptoms.

  • fluid electrolyte and acid-base disturbances
  • renal system

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Footnotes

  • Contributors AH: preparation of the manuscript, patient care and review of the literature. MA: patient care and review of the literature. AG: preparation of the manuscript and patient care, provided consent on behalf of other authors. AKK: patient care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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