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 |
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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.</description><identifier>ISSN: 0385-2385</identifier><identifier>EISSN: 1884-0728</identifier><identifier>DOI: 10.14842/jpnjnephrol1959.45.457</identifier><identifier>PMID: 14509222</identifier><language>jpn</language><publisher>Japan: Japanese Society of Nephrology</publisher><subject>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</subject><ispartof>The Japanese Journal of Nephrology, 2003/07/25, Vol.45(5), pp.457-463</ispartof><rights>Japanese Society of Nephrology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14509222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NUMABE, Atsushi</creatorcontrib><creatorcontrib>OGATA, Atsuko</creatorcontrib><creatorcontrib>ABE, Minoru</creatorcontrib><creatorcontrib>TAKAHASHI, Masaki</creatorcontrib><creatorcontrib>KONO, Koichi</creatorcontrib><creatorcontrib>ARAKAWA, Masaru</creatorcontrib><creatorcontrib>ISHIMITSU, Toshihiko</creatorcontrib><creatorcontrib>IEIRI, Tamio</creatorcontrib><creatorcontrib>MATSUOKA, Hiroaki</creatorcontrib><creatorcontrib>YAGI, Shigeru</creatorcontrib><title>A case of pseudo-Bartter's syndrome induced by long-term ingestion of furosemide delivered orally through health tea</title><title>Nihon Jinzo Gakkai shi</title><addtitle>Jpn J Nephrol</addtitle><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.</description><subject>Adult</subject><subject>Bartter Syndrome - diagnosis</subject><subject>Bartter Syndrome - etiology</subject><subject>Biomarkers - urine</subject><subject>Diagnosis, Differential</subject><subject>Diuretics - adverse effects</subject><subject>Diuretics - analysis</subject><subject>Female</subject><subject>Food, Organic - adverse effects</subject><subject>Food, Organic - analysis</subject><subject>Furosemide - adverse effects</subject><subject>Furosemide - analysis</subject><subject>Furosemide - urine</subject><subject>Humans</subject><subject>Hypokalemic Periodic Paralysis - etiology</subject><subject>pseudo-Bartter's syndrome, hypokalemia, periodic paralysis, furosemide, health food</subject><subject>Tea - adverse effects</subject><subject>Tea - chemistry</subject><issn>0385-2385</issn><issn>1884-0728</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1PwzAMhiMEYtPYX4DcOHU0X017HBNfYhIXOFdp435MbVMlKVL_PUFjOyBZryX7sfXaCN2ReEN4yunDYRwOA4yNNR3JRLbhIoS8QEuSpjyKJU0v0TJmqYhokAVaO9cWMUllzITk12hBuIgzSukS-S0ulQNsKjw6mLSJHpX1Huy9w24etDU94HbQUwkaFzPuzFBHod2HYg3Ot2b4na0maxz0rQasoWu_wQbcWNV1M_bB51Q3uAHV-QZ7UDfoqlKdg_VfXqGv56fP3Wu0_3h522330YHKxEc8-KWMB6cJSwpRpZUotUhYUUEmJZEJZ0JTGbRUUBGeEAmyKoRgWaYp4WyFbo97x6noQeejbXtl5_x0fgDej8DBeVXDGQgvaMsO8n-PzrnIxUnkmSobZXMY2A_ECH0l</recordid><startdate>2003</startdate><enddate>2003</enddate><creator>NUMABE, Atsushi</creator><creator>OGATA, Atsuko</creator><creator>ABE, Minoru</creator><creator>TAKAHASHI, Masaki</creator><creator>KONO, Koichi</creator><creator>ARAKAWA, Masaru</creator><creator>ISHIMITSU, Toshihiko</creator><creator>IEIRI, Tamio</creator><creator>MATSUOKA, Hiroaki</creator><creator>YAGI, Shigeru</creator><general>Japanese Society of Nephrology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>2003</creationdate><title>A case of pseudo-Bartter's syndrome induced by long-term ingestion of furosemide delivered orally through health tea</title><author>NUMABE, Atsushi ; OGATA, Atsuko ; ABE, Minoru ; TAKAHASHI, Masaki ; KONO, Koichi ; ARAKAWA, Masaru ; ISHIMITSU, Toshihiko ; IEIRI, Tamio ; MATSUOKA, Hiroaki ; YAGI, Shigeru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j276t-4703234092636b5f8f5cd563bfe977176435d27435caef14617e7fb55399d2143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Bartter Syndrome - diagnosis</topic><topic>Bartter Syndrome - etiology</topic><topic>Biomarkers - urine</topic><topic>Diagnosis, Differential</topic><topic>Diuretics - adverse effects</topic><topic>Diuretics - analysis</topic><topic>Female</topic><topic>Food, Organic - adverse effects</topic><topic>Food, Organic - analysis</topic><topic>Furosemide - adverse effects</topic><topic>Furosemide - analysis</topic><topic>Furosemide - urine</topic><topic>Humans</topic><topic>Hypokalemic Periodic Paralysis - etiology</topic><topic>pseudo-Bartter's syndrome, hypokalemia, periodic paralysis, furosemide, health food</topic><topic>Tea - adverse effects</topic><topic>Tea - chemistry</topic><toplevel>online_resources</toplevel><creatorcontrib>NUMABE, Atsushi</creatorcontrib><creatorcontrib>OGATA, Atsuko</creatorcontrib><creatorcontrib>ABE, Minoru</creatorcontrib><creatorcontrib>TAKAHASHI, Masaki</creatorcontrib><creatorcontrib>KONO, Koichi</creatorcontrib><creatorcontrib>ARAKAWA, Masaru</creatorcontrib><creatorcontrib>ISHIMITSU, Toshihiko</creatorcontrib><creatorcontrib>IEIRI, Tamio</creatorcontrib><creatorcontrib>MATSUOKA, Hiroaki</creatorcontrib><creatorcontrib>YAGI, Shigeru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Nihon Jinzo Gakkai shi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NUMABE, Atsushi</au><au>OGATA, Atsuko</au><au>ABE, Minoru</au><au>TAKAHASHI, Masaki</au><au>KONO, Koichi</au><au>ARAKAWA, Masaru</au><au>ISHIMITSU, Toshihiko</au><au>IEIRI, Tamio</au><au>MATSUOKA, Hiroaki</au><au>YAGI, Shigeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of pseudo-Bartter's syndrome induced by long-term ingestion of furosemide delivered orally through health tea</atitle><jtitle>Nihon Jinzo Gakkai shi</jtitle><addtitle>Jpn J Nephrol</addtitle><date>2003</date><risdate>2003</risdate><volume>45</volume><issue>5</issue><spage>457</spage><epage>463</epage><pages>457-463</pages><issn>0385-2385</issn><eissn>1884-0728</eissn><abstract>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.</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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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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