Skip to main content
SpringerLink
Log in

Pseudohypoaldosteronism Masquerading as Congenital Adrenal Hyperplasia

  • Clinical Brief
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A 15-day- old male infant presented with features suggestive of congenital adrenal hyperplasia (CAH). But on detailed investigation, he had normal 17-OH Progesterone and high aldosterone levels. Infant also had right sided hydronephrosis and associated urinary tract infection. Hence, a diagnosis of secondary pseudohypoaldosteronism was made. There was good response to sodium chloride supplementation and he was thriving well on follow up. While evaluating any infant with suspected CAH, one should consider secondary pseudohypoaldosteronism, especially when risk factors like urinary tract obstruction or UTI coexists.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Bogdanovic R, Stajic N, Putnik J, et al. Transient type 1 pseudo-hypoaldosteronism: report on an eight-patient series and literature review. Pediatr Nephrol. 2009;24:2167–75.

    Article  PubMed  Google Scholar 

  2. Ferry RJ, Pascual-y-Baralt JF. Pseudohypoaldosteronism. http://emedicine.medscape.com/article/924100-overview. Accessed 16 February 2010.

  3. Peddle M, Joubert G, Lim R. Case 2: hyponatremia and hyperkalemia in a four-week-old boy. Paediatr Child Health. 2008;13:387–90.

    PubMed  Google Scholar 

  4. Watanabe T. Reversible secondary psuedohypoaldosteronism. Pediatr Nephrol. 2003;18:486.

    PubMed  Google Scholar 

  5. Rogers D. Final diagnosis: transient pseudohypoaldosteronism (TPH) caused by UTI without concordant obstructive uropathy. Clin Pediatr. 2008;47:404–8.

    Article  Google Scholar 

  6. Maruyama K, Watanabe H, Onigata K. Reversible secondary pseudohypoaldosteronism due to pyelonephritis. Pediatr Nephrol. 2002;17:1069–70.

    Article  PubMed  Google Scholar 

  7. Tutunculer F, Gunoz H, Bas F, et al. Transient pseudohypoaldosteronism in an infant with urinary tract anomaly. Pediatr Int. 2004;46:618–20.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

None.

Role of Funding Source

None.

Author information

Authors and Affiliations

  1. Department of Pediatrics, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, 605006, India

    C. G. Delhikumar, Parameswaran Narayanan & S. Mahadevan

Authors
  1. C. G. Delhikumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Parameswaran Narayanan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Mahadevan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Parameswaran Narayanan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Delhikumar, C.G., Narayanan, P. & Mahadevan, S. Pseudohypoaldosteronism Masquerading as Congenital Adrenal Hyperplasia. Indian J Pediatr 79, 115–116 (2012). https://doi.org/10.1007/s12098-011-0490-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-011-0490-1

Keywords

Search

Navigation