" /> Pseudohypoaldosteronism, type ib1, autosomal recessive - CISMeF





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;

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03/06/2024


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