The cases of two patients with transient pseudohypoaldosteronism due to an up to this point unrecognized obstructive renal disease are reported. Both girls presented with a severe salt-losing episode in early infancy mimicking congenital adrenal hyperplasia. Extensive endocrinologic work-up revealed markedly elevated plasma-aldosterone levels. Clinical and laboratory data were consistent with transient pseudohypoaldosteronism. Sonographic and radiological investigation showed in both children a vesicoureteral reflux of differing grades. After therapy of the electrolyte-imbalance and recovery, one of the children required surgical treatment of vesicoureteral reflux.
Journal Article Somatomedin binding protein and somatomedin C are reliable indicators of acromegalic activity Get access L Schaaf, L Schaaf II. Medizinische Klinik, Klinikum Mannheim, Universität Heidelberg Search for other works by this author on: Oxford Academic Google Scholar W F Blum, W F Blum Kinderklinik Search for other works by this author on: Oxford Academic Google Scholar K Kietzmann, K Kietzmann Kinderklinik Search for other works by this author on: Oxford Academic Google Scholar W Geissler, W Geissler Medizinische Klinik, Universität Tübingen Search for other works by this author on: Oxford Academic Google Scholar F J Seif, F J Seif Medizinische Klinik, Universität Tübingen Search for other works by this author on: Oxford Academic Google Scholar M B Ranke, M B Ranke Kinderklinik Search for other works by this author on: Oxford Academic Google Scholar K H Usadel K H Usadel II. Medizinische Klinik, Klinikum Mannheim, Universität Heidelberg Search for other works by this author on: Oxford Academic Google Scholar Acta Endocrinologica (Norway), Volume 120, Issue 3_Supplement, Jun 1989, Page S78, https://doi.org/10.1530/acta.0.120S078 Published: 01 June 1989
Regarding the great number and the possible consequences for the patient it's surprising that there is almost no discussion concerning wrong diagnoses in medicine. Based on the experience of a working team at a center for general pediatric surgery we tried to recognize the most common mechanisms leading to wrong or insufficient diagnoses. For better illustration we describe the histories of six patients; in their cases the diagnostic errors could probably have been avoided by an exact examination procedure. One way to decrease pitfalls in daily medicin life seems to be the reflexion upon the errors and try to minimize them and their sources.
