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Severe normotensive metabolic alkalosis in a 2‐month‐old boy with hyperekplexia
Author(s) -
Schlapbach L. J.,
Sozzo A.,
Ramelli G.,
Bianchetti M. G.
Publication year - 2006
Publication title -
journal of inherited metabolic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.462
H-Index - 102
eISSN - 1573-2665
pISSN - 0141-8955
DOI - 10.1007/s10545-006-0082-9
Subject(s) - metabolic alkalosis , medicine , bicarbonate , sodium bicarbonate , potassium , anesthesia , clonazepam , sodium , endocrinology , metabolic disorder , chemistry , organic chemistry
Summary A 2‐month‐old infant with hereditary hyperekplexia, umbilical and bilateral inguinal hernias and history of poor feeding was noted to have severe normotensive metabolic alkalosis: sodium 132 mmol/L, potassium 3.4 mmol/L, chloride 77 mmol/L, pH 7.55, carbon dioxide tension 56.3 mmHg and bicarbonate 48.0 mmol/L. After parenteral rehydration and treatment with clonazepam, laboratory parameters normalized.