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Bartter Syndrome is a group of rare inherited disorders that affect the kidneys’ ability to reabsorb sodium. Among its various types, Bartter Syndrome with Sensorineural Deafness, also known as Bartter Syndrome Type IV, is particularly notable due to its association with hearing loss. This article delves into the background, genetic basis, clinical features, and current research on this condition.
Bartter Syndrome Type IV is primarily caused by mutations in the BSND gene, which encodes the protein Barttin . Barttin is essential for the proper functioning of chloride channels in the kidneys and inner ear. These channels are crucial for maintaining electrolyte balance and normal hearing. Mutations in the BSND gene disrupt these channels, leading to the characteristic symptoms of the syndrome .
Patients with Bartter Syndrome Type IV typically present with a range of symptoms, including:
Diagnosis of Bartter Syndrome Type IV involves a combination of clinical evaluation and laboratory tests. Key diagnostic methods include:
Research on Bartter Syndrome Type IV is ongoing, with a focus on understanding the genetic mutations and developing targeted therapies. Current treatment strategies aim to manage symptoms and improve quality of life. These include: