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Published on: March 23, 2022
Antenatal bartter syndrome: a review
Y Ramesh Bhat1, G Vinayaka, K Sreelakshmi
1Department of Paediatrics, Kasturba Medical College, Manipal University, Udupi District, Manipal 576104, India.
Antenatal Bartter syndrome (ABS) is a rare kidney disorder causing fetal polyuria and maternal polyhydramnios. Early diagnosis and indomethacin treatment improve pregnancy outcomes and infant health.
Area of Science:
- Nephrology
- Obstetrics
- Genetics
Background:
- Antenatal Bartter syndrome (ABS) is a rare autosomal recessive renal tubular disorder.
- Defective chloride transport in the loop of Henle causes fetal polyuria, leading to severe hydramnios and premature delivery.
Purpose of the Study:
- To present a comprehensive overview of Antenatal Bartter syndrome (ABS).
- To discuss classification, pathophysiology, clinical manifestations, laboratory findings, complications, and prognosis of ABS.
Main Methods:
- Review of existing literature on Antenatal Bartter syndrome.
- Analysis of clinical features, biochemical findings, and treatment outcomes.
Main Results:
- Early onset, unexplained maternal polyhydramnios should raise suspicion for ABS.
- Elevated amniotic fluid chloride levels are diagnostic.
- Neonatal complications include polyuria, failure to thrive, and nephrocalcinosis.
Conclusions:
- Awareness and early recognition of ABS are crucial.
- Maternal treatment with indomethacin and amniocentesis can prolong pregnancy.
- Prenatal diagnosis and timely intervention improve infant prognosis.
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