Pediatria e Terapêutica
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Pseudohypoaldosteronism Secondary to High Output Ileostomy: A Unique Report in an Infant

Abeer Alassaf, Tariq Abdelghani, Haytham A Al Jabour, Rasha Odeh and Eman Badran

Salt-losing crisis in an infant should warrant extensive work up. Pseudohypoaldosteronism is a rare condition which is characterized by hyponatremia, hyperkalemia, metabolic acidosis and is associated with high levels of plasma aldosterone. It can be primary or secondary. We report a case of an infant presented with salt-losing crisis and was found to have pseudohypoaldosteronism secondary to excessive losses through ileostomy. This cause of pseudohypoaldosteronism had never been reported previously in children. Additionally, we report an extremely rare association of pseudohypoaldosteronism with thrombocytosis, which can be used as a useful predictor of impending adrenal crisis.