A case of pseudo-Bartter's syndrome induced by long-term ingestion of furosemide delivered orally through health tea

A 32-year-old woman with a three-year history of muscle weakness and hypokalemia, was admitted to our hospital because of hypokalemic periodic paralysis. Clinical and laboratory findings were consistent with Bartter's syndrome. Although she denied any ingestion of diuretics substantial quantiti...

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Veröffentlicht in:Nihon Jinzo Gakkai shi 2003/07/25, Vol.45(5), pp.457-463
Hauptverfasser: NUMABE, Atsushi, OGATA, Atsuko, ABE, Minoru, TAKAHASHI, Masaki, KONO, Koichi, ARAKAWA, Masaru, ISHIMITSU, Toshihiko, IEIRI, Tamio, MATSUOKA, Hiroaki, YAGI, Shigeru
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container_end_page 463
container_issue 5
container_start_page 457
container_title Nihon Jinzo Gakkai shi
container_volume 45
creator NUMABE, Atsushi
OGATA, Atsuko
ABE, Minoru
TAKAHASHI, Masaki
KONO, Koichi
ARAKAWA, Masaru
ISHIMITSU, Toshihiko
IEIRI, Tamio
MATSUOKA, Hiroaki
YAGI, Shigeru
description A 32-year-old woman with a three-year history of muscle weakness and hypokalemia, was admitted to our hospital because of hypokalemic periodic paralysis. Clinical and laboratory findings were consistent with Bartter's syndrome. Although she denied any ingestion of diuretics substantial quantities of furosemide were detected in her urine. She had been drinking health tea which contained about 90 mg of furosemide per teabag daily for five years. Four years after discontinuation of drinking the tea, the hypokalemia was completely ameliorated, but poor renal concentration ability is still present . We conclude that is a case of pseudo-Bartter's syndrome that was caused by long-term ingestion of the health tea supplemented illegally with furosemide, and suspect that such cases may be observed more frequently than currently thought.
doi_str_mv 10.14842/jpnjnephrol1959.45.457
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Clinical and laboratory findings were consistent with Bartter's syndrome. Although she denied any ingestion of diuretics substantial quantities of furosemide were detected in her urine. She had been drinking health tea which contained about 90 mg of furosemide per teabag daily for five years. Four years after discontinuation of drinking the tea, the hypokalemia was completely ameliorated, but poor renal concentration ability is still present . We conclude that is a case of pseudo-Bartter's syndrome that was caused by long-term ingestion of the health tea supplemented illegally with furosemide, and suspect that such cases may be observed more frequently than currently thought.</abstract><cop>Japan</cop><pub>Japanese Society of Nephrology</pub><pmid>14509222</pmid><doi>10.14842/jpnjnephrol1959.45.457</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0385-2385
ispartof The Japanese Journal of Nephrology, 2003/07/25, Vol.45(5), pp.457-463
issn 0385-2385
1884-0728
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recordid cdi_pubmed_primary_14509222
source MEDLINE; EZB Electronic Journals Library; J-STAGE
subjects Adult
Bartter Syndrome - diagnosis
Bartter Syndrome - etiology
Biomarkers - urine
Diagnosis, Differential
Diuretics - adverse effects
Diuretics - analysis
Female
Food, Organic - adverse effects
Food, Organic - analysis
Furosemide - adverse effects
Furosemide - analysis
Furosemide - urine
Humans
Hypokalemic Periodic Paralysis - etiology
pseudo-Bartter's syndrome, hypokalemia, periodic paralysis, furosemide, health food
Tea - adverse effects
Tea - chemistry
title A case of pseudo-Bartter's syndrome induced by long-term ingestion of furosemide delivered orally through health tea
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