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Should isolated Pseudo‐Bartter syndrome be considered a CFTR‐related disorder of infancy?

Background Infants that are negative to cystic fibrosis (CF) newborn screening (NBS) programs, or in countries without NBS, may present with metabolic alkalosis and severe salt depletion, a well‐known clinical manifestation of CF termed Pseudo‐Bartter syndrome (PBS). Here, we report the cases of thr...

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Bibliographic Details
Published in:Pediatric pulmonology 2019-10, Vol.54 (10), p.1578-1583
Main Authors: Poli, Piercarlo, Rose, Domenico Umberto, Timpano, Silviana, Savoldi, Gianfranco, Padoan, Rita
Format: Article
Language:English
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Summary:Background Infants that are negative to cystic fibrosis (CF) newborn screening (NBS) programs, or in countries without NBS, may present with metabolic alkalosis and severe salt depletion, a well‐known clinical manifestation of CF termed Pseudo‐Bartter syndrome (PBS). Here, we report the cases of three CF‐negative children, who carry rare mutations in the CF transmembrane conductance regulator (CFTR) gene, and, for whom, PBS was the only manifestation of CFTR protein dysfunction. There is no diagnostic label for these cases. Methods Medical records of patients followed at our Cystic Fibrosis Centre were revised and data were collected for all patients who presented with an isolated PBS. The syndrome was defined as an episode of dehydration with low levels of serum sodium (
ISSN:8755-6863
1099-0496
DOI:10.1002/ppul.24433