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Life threatening hyperkalemia in a neonate with pseudo-hypoaldosteronism
1Department of Neonatology, Shifa International Hospital, Islamabad.
Abstract:
Pseudohypoaldosteronism type 1 is a rare disorder characterized by renal resistance to aldosterone which may present with a salt wasting crisis in infancy. We report a neonate with hyponatremia, severe dehydration and refractory life threatening hyperkalemia who was treated with dietary sodium chloride supplementation, potassium binding resins and fluid replacement therapy which proved to be lifesaving.
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