6533b860fe1ef96bd12c3606

RESEARCH PRODUCT

[Fetal pseudohypoaldosteronism: rare cause of hydramnios].

Liotta AMaria Cristina MaggioIachininoto RBellipanni PfCali GVincenzo ArenaArena F.

subject

AdultPolyhydramniosFetal DiseasesPolyhydramnioCesarean SectionPregnancyPseudohypoaldosteronismInfant NewbornHumansFemalePrognosisGrowth DisordersInfant Premature

description

PHA is a rare cause of hydramnios, characterized by increased amniotic fluid levels of aldosterone and sodium. Two distinct genetic entities (PHA type I and PHA type II) are included. Both are stemmed by a target organ defect with diminished renal tubular responsiveness to aldosterone. The AA present a case in which pregnancy resulted in a preterm infant with severe hydramnios, metabolic acidosis, hyponatriemia, hyperkaliemia. Salt and fluid replacement significantly improved clinical and metabolic condition. However a growth deficiency (-2 SDS) persists at follow-up.

https://pubmed.ncbi.nlm.nih.gov/15700742