A neonate with intrauterine growth restriction and pseudo‐Bartter syndrome due to severe maternal eating disorder: A case report

Abstract

Pseudo-Bartter syndrome, a rare disorder, similar to Bartter syndrome, lacks renal tubular pathology. We present the case of a term small for gestational age neonate with metabolic alkalosis since birth with gradual decline within first week of life. Similar laboratory findings were observed in baby's mother, suffered from severe eating disorders. Pseudo-Bartter syndrome is a rare disorder caused by chloride poor diet, loss of sodium or chloride in the urine/ stool, and vomit or prostaglandin infusion. 1,2 It is characterized by hypokalemic, hypochloremic metabolic alkalosis.

Pregnancy outcomes in women with active anorexia nervosa: a systematic review

“…Five studies reported fetal pregnancy outcomes (see Table 4 ). Varying degrees of intrauterine growth restriction accounts for the most reported adverse fetal outcome [ 24 , 25 , 30 , 31 , 38 , 39 ]. Fetal distress was mentioned in one case report [ 30 ].…”

“…Based on the level of evidence, preterm birth [ 23 , 24 , 26 – 28 , 34 , 40 , 41 ], SGA birth [ 23 , 24 , 28 , 30 , 38 – 40 ], and low birth weight [ 24 , 25 , 27 – 29 , 39 ] were the most reported by the studies included. Three of the case reports that mentioned preterm birth were twin pregnancies [ 27 , 34 , 41 ].…”

Pseudo-Bartter syndrome in an infant without obvious underlying conditions: A case report

“…Severe hyperemesis during pregnancy or alcoholism can also develop in the adult with PBS (1). In the pediatric field, neonatal-onset PBS has been anecdotally reported who were born to mothers with eating disorders and resultant malnutrition (6,7).…”