Salt wasting disorder in the newborn

Indian J Pediatr. 2006 Jan;73(1):95-6. doi: 10.1007/BF02758269.

Abstract

The clinical presentation of pseudohypoaldosteronism (PHA) mimics congenital adrenal hyperplasia (CAH). Poor response of the dehydration and electrolyte abnormalities to steroid therapy should make one suspect PHA. The treatment is supportive in the form of salt replacement and sodium resonium. We report a case of PHA that presented as salt wasting on the second day of life, initially appearing like CAH. The baby responded well to sodium resonium and salt replacement.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Hyperplasia, Congenital
  • Cation Exchange Resins / therapeutic use
  • Cyclooxygenase Inhibitors / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Indomethacin / therapeutic use
  • Infant, Newborn
  • Male
  • Polystyrenes / therapeutic use
  • Pseudohypoaldosteronism / diagnosis*
  • Pseudohypoaldosteronism / drug therapy
  • Pseudohypoaldosteronism / physiopathology
  • Saline Solution, Hypertonic / therapeutic use

Substances

  • Cation Exchange Resins
  • Cyclooxygenase Inhibitors
  • Polystyrenes
  • Saline Solution, Hypertonic
  • polystyrene sulfonic acid
  • Indomethacin