hyporeninemic hypoaldosteronism

Etiology: - association with renal tubular acidosis (RTA) IV Epidemiology: 1) occurs in middle-aged to elderly patients with mild to moderate renal insufficiency 2) half of patients are diabetic Laboratory: - renin & aldosterone secretion stimulated by salt deprivation or furosemide administration is are blunted Management: - fludrocortisone

References

Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 677-78