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Table 2 Comparison of Case Reports

From: “Summer hypokalemia” as an initial presentation of cystic fibrosis in a morbidly obese African American adult: case report

Author (year)

Bates (1997) [3]

Dave (2005) [2]

Vertolli (2013) [4]

Our patient (2015)

Age (years)

17

36

34

26

Race/Gender

Texan/M

W/M

W/M

AA/M

K (mEq/L)

2.2

2.0

2.2

1.5

HCO3 (mEq/L)

40

38

 

42

pH

7.49

7.54

 

7.55

Urine Na (mEq/L)

23 (0.2%) a

<  20

126 b

<  10

Urine Cl (mEq/L)

12 (0.2%) a

<  20

10 b

<  15 c

Urine K (mEq/L)

44 (29%) a

86

5 b

13.8

Plasma renin (ng/ml//hr)

Normal

21.81 (High)

Normal b

28.21 (High)

Plasma aldosterone (ng/dL)

Low to normal

33 (High)

Normal b

6 (Normal)

CFTR Gene Mutation

Heterozygous

p. F508Del and R 117H

p. F508Del and 2789 + 2insA

Heterozygous deletion of Exon17a-18 and 2789 + 5 G → A.

Heterozygous p.F508Del and (TG)12-5 T

Other features

3 of 5 siblings with same mutations

Azoospermia, Mild obstruction with air trapping on pulmonary function test, chest HRCT normal and BMI 30.3 kg/M2

Azoospermia, ‘tree in bud” pattern and bronchiectasis on CT, and adipose pancreas on CT

Pulmonary function test normal, chest HRCT normal, BMI 54 kg/M2

(Recent BMI 83 kg/M2 in 2019),

Lipase normal

  1. a Percent indicates fractional excretion of each electrolyte, respectively. b The test was done as outpatient when potassium was partially corrected to 3.2 mEq/L. c Done during another hospitalization