Pseudohypoaldosteronism

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Pseudohypoaldosteronism
Aldosterone-2D-skeletal.svg
In pseudohypoaldosteronism, aldosterone is elevated (hyperaldosteronism), but because the body fails to respond to it, it appears similar to hypoaldosteronism.
Classification and external resources
Specialty Lua error in Module:Wikidata at line 446: attempt to index field 'wikibase' (a nil value).
OMIM 177735 614495 614491 614496 614492 145260 264350 177735 614495 614491 614496 614492 145260
DiseasesDB = [http://apps.who.int/classifications/icd10/browse/2015/en#/N25.8 N25.8.htm ICD10 = N25.8]
eMedicine article/924100
Patient UK Pseudohypoaldosteronism
MeSH D011546
[[[d:Lua error in Module:Wikidata at line 863: attempt to index field 'wikibase' (a nil value).|edit on Wikidata]]]

Pseudohypoaldosteronism (PHA) is a condition that mimics hypoaldosteronism.[1] However, the condition is due to a failure of response to aldosterone, and levels of aldosterone are actually elevated, due to a lack of feedback inhibition.

This syndrome was first described by Cheek and Perry in 1958.[2] Later pediatric endocrinologist Aaron Hanukoglu reported that there are two independent forms of PHA with different inheritance patterns: Renal form with autosomal dominant inheritance exhibiting salt loss mainly from the kidneys, and multi-system form with autosomal recessive form exhibiting salt loss from kidney, lung, and sweat and salivary glands.[3] [4]

Treatment of severe forms of PHA requires relatively large amounts of sodium chloride.[5] These conditions also involve hyperkalemia.[6]

Types include:

Type OMIM Gene Description
PHA1AD 177735 MLR with sodium wasting
PHA1AR 264350 SCNN1A, SCNN1B, SCNN1G of the epithelial sodium channel with sodium wasting
PHA2 145260 WNK4, WNK1 without sodium wasting. TRPV6 may be involved.[7]

References

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  6. Pseudohypoaldosteronism at the US National Library of Medicine Medical Subject Headings (MeSH)
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External links

See also


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