Table 1.
Bartter's syndrome: Different types and variants
BS type I | BS type II | BS type III | BS type IV BSND variant | Gitelman's variant | |
---|---|---|---|---|---|
Channel | NKCC2 | ROMK | CIC-Kb | CIC-Kb/CIC-Ka | NCCT |
Location | TAL | TAL, CD | TAL, DCT | TAL, Inner ear | DCT |
Gene | SLC12A1 | KCNJ1 | CLCNKB | BSND | SLC12A3 |
Chromosome | 15q15-21 | 11q24 | 1p36 | 1p31 | 16q13 |
Polyhydramnios | Present | Present | Absent | Present | Absent |
Gestational age | Preterm | Preterm | Near term | Preterm | Term |
Age of onset | Antenatal | Antenatal | <1year | Antenatal | 6–13 years |
Symptoms | Polyuria | Polyuria | Hypokalemia failure to thrive | Polyuria, deafness | Hypokalemia, tetany |
Urine Ca excretion | High | High | Moderate | High | Hypocalciuria |
Nephrocalcinosis | Present | Present | Usually absent | Present | Absent |
Magnesium | Normal | Normal | Low or normal | Normal | Always low |
Prostaglandin level | Increased | Increased | Increased | Increased | Near normal |
Prostaglandin excretion | Increased | Increased | Increased | Increased | Normal |