Recurrent exacerbations of protein-losing enteropathy after initiation of growth hormone therapy in a Fontan patient controlled with spironolactone.

Abstract:

:Protein-losing enteropathy (PLE) is a rare, but serious complication in single ventricle patients after Fontan palliation, and is associated with a 5-year mortality of 46%. We describe a patient with PLE after Fontan palliation who achieved remission with high-dose spironolactone (an aldosterone antagonist), but had three exacerbations each temporally correlated with the use of growth hormone (an aldosterone agonist). Because of the opposing mechanisms of action of these two medications, caution might be indicated when using growth hormone for patients with PLE who are successfully treated with spironolactone.

journal_name

Congenit Heart Dis

journal_title

Congenital heart disease

authors

Grattan MJ,McCrindle BW

doi

10.1111/j.1747-0803.2009.00320.x

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

165-7

issue

2

eissn

1747-079X

issn

1747-0803

pii

CHD320

journal_volume

5

pub_type

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