title: Secondary or Transient Pseudohypoaldosteronism Associated With Urinary Tract Anomaly and Urinary Infection: A Case Report.
abstract: Hyponatremia with hyperkalemia in infancy is a rare presentation, but may be due to aldosterone deficiency or end organ resistance to its action. There are few cases associating this condition with urinary tract infections or anatomic abnormalities that predispose to infection. Clinicians should have a high index of suspicion in diagnosing secondary pseudohypoaldosteronism (PHA) due to its often atypical presentation. We describe ten month-old infant who presented with this condition and was found to have urinary tract infection complicating unilateral urinary tract anomaly, which may have strong association with renal tubular resistance to aldosterone.
authors: Akron Nephrology Associates/Akron General Cleveland Clinic, Akron, Ohio, USA.
authors: Vinod
authors: V
authors: Krishnappa
authors: Department of Pediatric Urology, Rainbow Babies and Children Hospitals, Case Western Reserve, Cleveland, OH, USA.
authors: Jonathan H
authors: JH
authors: Ross
authors: Department of Nephrology, Akron General Medical Center Associate of Cleveland Clinic Foundation and Akron Children's Hospital, Akron, Ohio, USA.
authors: David N
authors: DN
authors: Kenagy
authors: Department of Nephrology, Akron General Medical Center Associate of Cleveland Clinic Foundation and Akron Children's Hospital, Akron, Ohio, USA.
authors: Rupesh
authors: R
authors: Raina
keywords: Hyperkalemia; Hyponatremia; Pseudohypoaldosteronism; Urinary tract anomalies; Urinary tract infections