Issue: 2007 > February > case report

Treating proteinuria in a diabetic patient despite hyperkalaemia due to hyporeninaemic hypoaldosteronism



CASE REPORT
C. van Nieuwkoop, D.H.T. IJpelaar, J.H. Bolk
AbstractPDF

Abstract

Diabetes mellitus is a common cause of hyporeninaemic
hypoaldosteronism that might result in significant
hyperkalaemia. We describe a patient with diabetic
nephropathy and proteinuria who developed a remarkable hyperkalaemia on treatment with an angiotensin-receptor blocker. The management of hyperkalaemia and the pathophysiological background of hyporeninaemic hypoaldosteronism are discussed.