Bartter Syndrome: A Rare Renal Tubulopathy
Published in the American Journal of Medical Case Reports, the authors describe a case of Bartter syndrome presenting with polyuria, generalized weakness and recurrent tetany in an adolescent male.

A 19-year-old student was admitted with increased frequency of micturition since 4 years of age and generalized weakness and fatigue for last 6 years. He stated increased frequency of micturition 8 to 10 times per day, relatively more frequent at night associated with dry mouth and polydipsia without any documentation of urine volume.

His weakness was of gradual onset without any diurnal variation, often aggravated by excessive physical activity and relieved partially by rest, fruits, oral saline. It was associated with muscle cramps and pain but not with excessive sweating, palpitation, heat intolerance, carbohydrate rich meal intake, diarrhoea or vomiting.

He had experienced recurrent episodes of involuntary painful spasms of hands and feet for last 3 years associated with perioral paresthesia, tingling and numbness of hands and feet .Interestingly each episode tend to be relieved by taking milk. He was unable to attain adequate physical growth in comparison to his peers though having normal nutritional history, absence of chronic diarrhoea or any other significant systemic disease.

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