young_doc
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A?
Tempting to chose Bartter or Gitelman, as they're both associated with hyper-reninism. BUT they both also have characteristically NORMAL BP!
So my guess is A, causing increased ACTH (due to lack of (-) feedback), leading to increased 11-OH-cortisol which has mineralocorticoid activity. Just my guess...?
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| star1
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4-11 beta hydroxlyase deficiency
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| young_doc
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Yes that's right. The concept was there, the correct enzyme wasn't!
It's 11-OH deficiency. Thanks for the correction.
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| drpkaur
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yeah 4 is the correct answer.in 21 hydroxylase deficiency,patient is hypotensive....good job...
there are more conditions which causes hypertension with hypkalemia.list them...
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| drpkaur
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sorry for misspelling -hypokalemia..
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| young_doc
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well basically anything that inreases Renin/Aldosterone!
-conn's
-B1-agonists
-Renal a. stenosis
...so on...
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