دورية أكاديمية
A Therapeutic Challenge: Liddle’s Syndrome Managed with Amiloride during Pregnancy
| العنوان: | A Therapeutic Challenge: Liddle’s Syndrome Managed with Amiloride during Pregnancy |
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| المؤلفون: | Amelia Caretto, Liviana Primerano, Francesca Novara, Orsetta Zuffardi, Stefano Genovese, Maurizio Rondinelli |
| المصدر: | Case Reports in Obstetrics and Gynecology, Vol 2014 (2014) |
| بيانات النشر: | Hindawi Limited, 2014. |
| سنة النشر: | 2014 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | Gynecology and obstetrics, RG1-991 |
| الوصف: | Liddle’s syndrome (LS) is a rare heritable form of hypertension that often affects young patients. It is caused by gain-of-function mutations of the kidney epithelial sodium channel (ENaC) and it is classically associated with hypokalemia and suppression of renin and aldosterone. LS is characterized by responsiveness to ENaC inhibitors but not to mineralocorticoid receptor inhibitors. Consequently the most effective treatment is amiloride. This drug is not used in pregnancy, as it has not been sufficiently studied during gestation. However for pregnant LS patient amiloride is the most effective drug in decreasing blood pressure. Herein we report the case of a LS patient, who has been followed up by a multidisciplinary teamwork during her first pregnancy. Hypertension worsened after the 25th week of gestation and amiloride was safely administered, firstly in combination with hydrochlorothiazide (the only formulation commercially available in Italy) and, thereafter, as a single drug. Genetic testing was performed in the patient’s family in order to support diagnosis and clinical management. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-6684 2090-6692 |
| العلاقة: | https://doaj.org/toc/2090-6684Test; https://doaj.org/toc/2090-6692Test |
| DOI: | 10.1155/2014/156250 |
| الوصول الحر: | https://doaj.org/article/e4f6387989c049ceb22e9b6800c31cfbTest |
| رقم الانضمام: | edsdoj.4f6387989c049ceb22e9b6800c31cfb |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20906684 20906692 |
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| DOI: | 10.1155/2014/156250 |