Preferred Label : Pseudohypoaldosteronism, type ib1, autosomal recessive;
Symbol : PHA1B1;
CISMeF acronym : PHA1B;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Pha I, autosomal recessive; Pseudohypoaldosteronism, type I, autosomal recessive; PHA1B;
Description : Autosomal recessive pseudohypoaldosteronism type I is characterized by renal salt
wasting and high concentrations of sodium in sweat, stool, and saliva. The disorder
involves multiple organ systems and is especially threatening in the neonatal period.
Laboratory evaluation shows hyponatremia, hyperkalemia, and increased plasma renin
activity with high serum aldosterone concentrations. Respiratory tract infections
are common in affected children and may be mistaken for cystic fibrosis (CF; 219700).
Aggressive salt replacement and control of hyperkalemia results in survival, and the
disorder appears to become less severe with age (review by Scheinman et al., 1999).
A milder, autosomal dominant form of type I pseudohypoaldosteronism (PHA1A; 177735)
is caused by mutations in the mineralocorticoid receptor gene (MCR, NR3C2; 600983).
Gitelman syndrome (263800), another example of primary renal tubular salt wasting,
is due to mutation in the thiazide-sensitive sodium-chloride cotransporter (SLC12A3;
600968).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the gamma subunit of the nonvoltage-gated sodium channel 1 gene
(SCNN1G, 600761.0002); Caused by mutation in the alpha subunit of the nonvoltage-gated sodium channel 1 gene
(SCNN1A, 600228.0001); Caused by mutation in the beta subunit of the nonvoltage-gated sodium channel 1 gene
(SCNN1B, 600760.0003);
Laboratory abnormalities : Hyponatremia; Hyperkalemia; Increased serum aldosterone; Increased plasma renin activity; Markedly elevated sodium in urine, sweat, saliva, and stool;
Prefixed ID : #264350;
Origin ID : 264350;
UMLS CUI : C5774176;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to NTBT