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5/13/2026 8:18:26 AM | Browse: 3 | Download: 13
Publication Name World Journal of Clinical Pediatrics
Manuscript ID 113666
Country Malaysia
Received
2025-09-01 06:42
Peer-Review Started
2025-09-01 06:42
First Decision by Editorial Office Director
2025-09-25 08:32
Return for Revision
2025-09-25 08:32
Revised
2025-11-02 04:14
Publication Fee Transferred
Second Decision by Editor
2026-01-09 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-09 08:21
Articles in Press
2026-01-09 08:21
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-26 04:52
Publish the Manuscript Online
2026-05-13 08:18
ISSN 2219-2808 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Endocrinology & Metabolism
Manuscript Type Case Report
Article Title Rare coexistence of aldosterone resistance and adrenal insufficiency in asymptomatic infant with persistent hyperkalaemia: A case report
Manuscript Source Invited Manuscript
All Author List Fazila H Wan-Nik, Hani A Zulkeflee, Nadirah S Ab Rahim and Salwani T Tuan-Ismail
ORCID
Author(s) ORCID Number
Fazila H Wan-Nik http://orcid.org/0000-0002-8319-1943
Hani A Zulkeflee http://orcid.org/0000-0003-3504-3548
Nadirah S Ab Rahim http://orcid.org/0000-0002-1878-0813
Salwani T Tuan-Ismail http://orcid.org/0000-0002-7739-8323
Funding Agency and Grant Number
Corresponding Author Salwani T Tuan-Ismail, Associate Professor, Endocrinology Unit, Department of Chemical Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia. tusti@usm.my
Key Words Hyperkalemia; Aldosterone resistance; Adrenal insufficiency; Electrolyte imbalance; Diagnosis; Case report
Core Tip A 6-month-old male was incidentally found to have persistent hyperkalaemia despite being asymptomatic with normal electrocardiogram documented during hospitalization for bronchiolitis. Laboratory evaluation showed elevated serum aldosterone, suppressed plasma renin activity, normal serum sodium and chloride with low serum bicarbonate, consistent with aldosterone resistance. Additionally, a short synacthen test confirmed adrenal insufficiency, with normal serum 17-hydroxyprogesterone excluding (congenital adrenal hyperplasia). He required escalating fludrocortisone alongside hydrocortisone and potassium binders, indicating mineralocorticoid resistance. Genetic testing was not performed, but clinical and biochemical findings strongly support coexisting aldosterone resistance and adrenal insufficiency; an exceptionally rare dual endocrinopathy.
Publish Date 2026-05-13 08:18
Citation

Wan-Nik FH, Zulkeflee HA, Ab Rahim NS, Tuan-Ismail ST. Rare coexistence of aldosterone resistance and adrenal insufficiency in asymptomatic infant with persistent hyperkalaemia: A case report. World J Clin Pediatr 2026; 15(2): 113666

URL https://www.wjgnet.com/2219-2808/full/v15/i2/113666.htm
DOI https://dx.doi.org/10.5409/wjcp.v15.i2.113666
Full Article (PDF) WJCP-15-113666-with-cover.pdf
CARE Checklist–2016 113666-CARE-Checklist-2016.pdf
Manuscript File 113666_Auto_Edited_104829.docx
Answering Reviewers 113666-answering-reviewers.pdf
Audio Core Tip 113666-audio.mpeg
Conflict-of-Interest Disclosure Form 113666-conflict-of-interest-statement.pdf
Copyright License Agreement 113666-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 113666-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 113666-non-native-speakers.pdf
Peer-review Report 113666-peer-reviews.pdf
Scientific Misconduct Check 113666-scientific-misconduct-check.png
Scientific Editor Work List 113666-scientific-editor-work-list.pdf
CrossCheck Report 113666-crosscheck-report.pdf