Premium
Renal and Adrenal Ultrasonography: a valuable diagnostic tool in the salt‐wasting infant
Author(s) -
Reynolds Ben Christopher,
Schenk Daniel,
Kambalimath Manjunath,
Jackson Michael,
Cheetham Tim
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13217
Subject(s) - medicine , ultrasonography , wasting , intensive care medicine , pediatrics , radiology
The major differential diagnosis in ‘salt‐wasting’ infants (characterised by hyponatraemia and hyperkalaemia) is that of an adrenal or renal disorder. Appropriate management relies on rapid diagnosis, but existing guidelines do not highlight the role of ultrasonography. We describe how ultrasound may lead to a more rapid diagnosis in disorders of sex development ( DSD ) and other potential ‘salt‐wasting’ infants. Conclusion Ultrasonography as a diagnostic tool in infants with salt‐wasting or DSD needs to be more widely recognised.