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Presentation of Bartter Sx (thick ascending limb) vs Gitelman Sx (distal tubule)

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Final answer:

Bartter syndrome affects the thick ascending limb of the loop of Henle, while Gitelman syndrome affects the distal convoluted tubule. Both syndromes result in an electrolyte imbalance due to impaired reabsorption of sodium and chloride ions.

Step-by-step explanation:

The Bartter syndrome (thick ascending limb) and Gitelman syndrome (distal tubule) are both renal disorders that affect the reabsorption of electrolytes in the kidneys.

The Bartter syndrome is caused by mutations in the genes encoding proteins involved in the reabsorption of sodium, potassium, and chloride ions in the thick ascending limb of the loop of Henle. This results in increased urinary excretion of these ions and a characteristic electrolyte imbalance.

Gitelman syndrome is caused by mutations in the gene encoding the thiazide-sensitive sodium-chloride cotransporter in the distal convoluted tubule. This impairs the reabsorption of sodium and chloride ions, leading to increased urinary excretion of these ions and a similar electrolyte imbalance as seen in Bartter syndrome.

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