Kim J Y, Kim G A, Song J H, Lee S W, Han J Y, Lee J S, Kim M J
Department of Internal Medicine, Inha University College of Medicine, Inchon, Seoul, Korea.
Yonsei Med J. 2000 Oct;41(5):662-5. doi: 10.3349/ymj.2000.41.5.662.
Bartter's syndrome is a renal tubular disorder characterized by hypokalemia, metabolic alkalosis, increased urinary excretion of potassium and prostaglandins, a relative vascular resistance to the pressor effects of exogenous angiotensin II, and hyperplasia of the juxtaglomerular apparatus. In most patients, the glomerular filtration rate is normal and chronic renal failure does not develop. We report here on a case of living-related kidney transplantation in Bartter's syndrome, in which a non-steroidal anti-inflammatory drug is suspected to be the cause of the end-stage renal disease.
巴特综合征是一种肾小管疾病,其特征为低钾血症、代谢性碱中毒、钾和前列腺素尿排泄增加、对外源性血管紧张素II的升压作用存在相对血管抵抗以及肾小球旁器增生。在大多数患者中,肾小球滤过率正常,不会发展为慢性肾衰竭。我们在此报告一例巴特综合征患者的亲属活体肾移植病例,怀疑非甾体抗炎药是导致其终末期肾病的原因。