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Titan SM, Gebara OC, Callas SH, et al. Case report: a rare cause of metabolic alkalosis. NDT Plus. 2011;4(3):164-6doi: 10.1093/ndtplus/sfr036.
Titan, S. M., Gebara, O. C., Callas, S. H., Hoff, A. O., Hoff, P. M., & Galvão, P. C. (2011). Case report: a rare cause of metabolic alkalosis. NDT plus, 4(3), 164-6. https://doi.org/10.1093/ndtplus/sfr036
Titan, Silvia M, et al. "Case report: a rare cause of metabolic alkalosis." NDT plus vol. 4,3 (2011): 164-6. doi: https://doi.org/10.1093/ndtplus/sfr036
Titan SM, Gebara OC, Callas SH, Hoff AO, Hoff PM, Galvão PC. Case report: a rare cause of metabolic alkalosis. NDT Plus. 2011 Jun;4(3):164-6. doi: 10.1093/ndtplus/sfr036. Epub 2011 Mar 29. PMID: 25984146; PMCID: PMC4421598.
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NDT Plus. 2011 Jun;4(3):164-6. doi: 10.1093/ndtplus/sfr036. Epub 2011 Mar 29.

Case report: a rare cause of metabolic alkalosis.

NDT plus

Silvia M Titan, Otávio C E Gebara, Silvia H V Callas, Ana O Hoff, Paulo M Hoff, P C A Galvão

Affiliations

  1. Nephrology Division, Hospital das Clínicas, Sao Paulo University Medical School, Sao Paulo, Brazil.
  2. Hospital Sírio-Libanês, Sao Paulo, Brazil.
  3. Endocrinology Division, Fleury Laboratory, Sao Paulo, Brazil.

PMID: 25984146 PMCID: PMC4421598 DOI: 10.1093/ndtplus/sfr036

Abstract

A case of a 66-year-old white man with recent onset of oedema, hypertension, metabolic alkalosis and profound hypokalaemia is described. The initial laboratorial workup showed that urinary chloride concentration and potassium excretion were increased, suggesting a state of hyperaldosteronism. Nonetheless, renin activity was low and aldosterone levels were normal. The metabolic alkalosis seen in this case was due to a rare cause, the ectopic adrenocorticotropic hormone syndrome. A literature review in the subject is presented.

Keywords: ectopic adrenocorticotropic hormone syndrome; hypokalaemia; metabolic alkalosis

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