Faculty of Biology Medicine and Health, University of Manchester, Manchester, UK
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comprised 50 PRC measurements made at the time the service review was initiated. A renin result was selected if there was an electrolyte profile taken at the same time. More than one sample from the same patient was included as long as it was on a separate
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assessment (salt craving, blood pressure or oedema) and measuring blood electrolytes and renin. General well-being, maintaining electrolytes in the normal range alongside a normal blood pressure without evidence of postural hypotension and achieving renin
Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
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). A review by Wilczynski et al. found that the etiology of hyperkalemia was in fact hypoaldosteronism in 10–80% of patients with this electrolyte alteration in published series ( 7 ). Hyperkalemia is not a constant of hypoaldosteronism, yet is often
Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
Department of Clinical Biochemistry, North West London Pathology, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
Department of Clinical Biochemistry, North West London Pathology, London, UK
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dataset. The decision to wean prednisolone was made by a panel of endocrinologists in a multi-disciplinary team meeting. Individuals were deemed ‘well’ if they remained asymptomatic, with an adequate blood pressure and normal electrolytes on a replacement
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, 23 , 24 , 25 , 26 , 27 ). Adrenal hormones, which cause the heartbeat to accelerate, have vasoconstrictive properties, as well as regulate water–electrolyte balance and body fluid volume, play a key role in the pathogenesis of hypertension. A
Department of Endocrinology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
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Department of Endocrinology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
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showed normalisation of her serum electrolytes with a persistently elevated renin (372.8 mIU/L) during fludrocortisone treatment. Following COCP withdrawal, she had a basal cortisol of 344 nmol/L, rising to 452 nmol/L 60 min post-injection of 250 µg
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gastrointestinal symptoms. Hypotension was reported in 58% of cases, electrolyte disturbance in 46% and hypoglycaemia in 10%. Excluding patients younger than 18, median BMI at diagnosis was 23.5 kg/m² (IQR 20.1–27.0; min–max 14.5–43.8; n = 127). Figure 1
Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER, Unidad 747), ISCIII, Spain
Department of Endocrinology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Department of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
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electrolyte disturbance. Insufficient weight gain not identified before the screening result Important to receive clear and repeated information from doctor and the team. Difficult to take in all information and learn how to deal with the situation, both
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-replacement, with at least one review per trimester ( 17 , 22 ). Undesirable effects of over-replacement include gestational diabetes and shorter length of gestation. In contrast, under-replacement might increase the risk of hyperemesis, and electrolyte imbalance