Metabolic alkalosis involves a primary increase in bicarbonate concentration that may be caused by different factors. Among the genetic diseases that affect metabolism in renal tubules are those causing metabolic alkalosis due to loss of potassium, failure in chlorine reabsorption, or renal salt loss. Some of these acid-base alterations are associated with pathologies such as Bartter syndrome, pseudoaldosteronism (Liddle syndrome), or Gitelman syndrome, among others.
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