Bartter syndrome

Last revised by Henry Knipe on 5 Nov 2024

Bartter syndrome is a rare inherited renal disorder.

Bartter syndrome affects 1 in 1,000,000 people 2.

Bartter syndrome is characterized by hyperplasia of the juxtaglomerular cells along with 1,2:

  • hypokalemia

  • metabolic alkalosis

  • hypotension/normotension

  • elevated plasma renin

  • elevated aldosterone

  • antenatal polyhydramnios

Numerous recessive inherited gene mutations affecting salt reabsorption in the thick ascending limb and Bartter syndrome have been divided into four types 2. Confusingly, two fifth types (with different underlying genetic mechanisms) have been reported 2.

First described in 1962 by American endocrinologist Frederic Crosby Bartter (1914-1983) 3.

  • Gitelman syndrome: a closely associated disorder, milder than both subtypes of Bartter syndrome 2

  • Schwartz-Bartter syndrome: a separate entity characterized by hypertonicity of urine, hyponatremia and inability to excrete water load 1

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