Liddle syndrome is a rare hereditary disorder in which the collecting tubules of the kidneys excrete potassium but retain too much sodium and water, leading to high blood pressure.
(See also Introduction to Disorders of Kidney Tubules.)
The gene that causes Liddle syndrome is dominant, meaning that children of a person with the disorder have a 50% chance of inheriting the defective gene.
Liddle syndrome does not always cause symptoms. When it does, symptoms such as high blood pressure often begin during childhood or young adulthood. People also have low levels of potassium and high levels of bicarbonate in the blood.
Utambuzi wa Ugonjwa wa Liddle
Blood pressure measurement
Urine and blood tests
In addition to finding high blood pressure in a young person, doctors also find a low amount of sodium in the urine and low blood levels of hormones that help regulate sodium levels in the blood and, thus, blood pressure (renin and aldosterone).
Genetic testing may also be done.
Matibabu ya Ugonjwa wa Liddle
Medications to increase sodium excretion
The condition is effectively treated by medications that increase sodium excretion and lessen potassium excretion, such as triamterene or amiloride. These medications effectively lower the blood pressure. The prognosis is very good.
Maelezo Zaidi
The following English-language resource may be useful. Please note that THE MANUAL is not responsible for the content of this resource.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): Provides insight into ongoing research, consumer health information in English and Spanish, a blog, and community health and outreach programs.
