Abstract
A 47-year-old man was complaining of consciousness disorder. He had acute kidney injury, hypokalemia, and severe metabolic alkalosis. Initial treatment using intravenous infusion of 0.9% saline and potassium chloride improved his consciousness. It was clarified that he was a severe alcohol abuser who habitually self-vomited. We diagnosed him with volume depletion and pseudo-Bartter’s syndrome due to loss of chloride by habitual vomiting. Gastrointestinal endoscopy demonstrated pyloric stenosis, which was ameliorated by Helicobacter pylori eradication therapy. We should consider volume depletion and pseudo-Bartter’s syndrome as differential diagnoses when we encounter patients with acute kidney injury and severe metabolic alkalosis.
Original language | English |
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Pages (from-to) | 1031-1035 |
Number of pages | 5 |
Journal | Internal Medicine |
Volume | 62 |
Issue number | 7 |
DOIs | |
State | Published - 2023 |
Keywords
- gastric pyloric stenosis
- hypokalemia
- myopathy
- pseudo-Bartter’s syndrome
- secondary hyperaldosteronism
ASJC Scopus subject areas
- Internal Medicine