Matos-Martínez M, Sánchez-Villegas M C, Castro-Ortiz L, Paniagua-Medina M E, Gutiérrez-Avila C
Servicio de Nefrología, Hospital General, Centro Médico La Raza, Instituto Mexicano del Seguro Social, D.F.
Bol Med Hosp Infant Mex. 1993 May;50(5):331-5.
A 13 year old girl with hypertension (170/140 mmHg), hyperkalemia (7.3 mmol/L), hyperchloremic metabolic acidosis and normal glomerular filtration rate (creatinine clearance 128 mL/min/1.73 m2), had low plasmatic renin activity (0.20 ng/mL/h), the levels of plasma aldosterone was low (5.5 ng/100mL) and very low transtubular potassium concentration gradient. Other forms of the secondary hypertension were discarded. The patient was treated with salt restriction, oral salbutamol and furosemide, with satisfactory evolution. At present her blood pressure is 130/85 mmHg and potassium, plasmatic levels of 5.3 mmol/L.