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  • Title: Metabolic mimicry of Bartter's syndrome by covert vomiting: utility of urinary chloride determinations.
    Author: Veldhuis JD, Bardin CW, Demers LM.
    Journal: Am J Med; 1979 Feb; 66(2):361-3. PubMed ID: 425977.
    Abstract:
    Bartter's syndrome characteristically exhibits the constellation of hypokalemic alkalosis with moderate kaliuresis, normotensive hyperreninemia, hyperaldosteronism, urinary hyperexcretion of prostaglandin E (PGE) and vascular hyporesponsivity to pressor agents. We describe precise biochemical mimicry of these metabolic abnormalities in a patient with surreptitious repetitive vomiting, in whom simple urinary chloride excretion data subsequently excluded the diagnosis of Bartter's syndrome.
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