raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:89938

Bartter syndrome type 4

Synonyms: Bartter syndrome type IV · Bartter syndrome with sensorineural deafness · Bartter syndrome with sensorineural hearing loss

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal
Status
active

A form of Bartter syndrome characterized by maternal polyhydramnios, premature delivery, salt loss, polyuria and sensorineural deafness, associated with hypokalemic and hypochloremic metabolic alkalosis, increased levels of plasma renin and aldosterone, and low to normal blood pressure. Urinary calcium excretion rates are variable, and nephrocalcinosis is typically absent.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBartter syndrome type 4Bartter syndrome type IV · Bartter syndrome with sensorineural deafness · Bartter syndrome with sensorineural hearing loss
frSyndrome de Bartter type 4Syndrome de Bartter avec surdité de perception · Syndrome de Bartter avec surdité neurosensorielle · Syndrome de Bartter type IV
deBartter-Syndrom Typ 4Bartter-Syndrom Typ IV · Bartter-Syndrom mit sensorineuraler Schwerhörigkeit
esSíndrome de Bartter tipo 4Síndrome de Bartter con hipoacusia neurosensorial · Síndrome de Bartter con sordera neurosensorial · Síndrome de Bartter tipo IV
itSindrome di Bartter infantile con sordità neurosensorialeSindrome di Bartter con sordità neurosensoriale · Sindrome di Bartter tipo IV
nlSyndroom van Bartter type 4Syndroom van Bartter met sensorineuraal gehoorverlies · Syndroom van Bartter type IV · Syndroom van met sensorineurale doofheid
ptSíndrome Bartter tipo 4Síndrome Bartter com perda auditiva neurossensorial · Síndrome Bartter com surdez neurossensorial · Síndrome Bartter tipo IV
plDziecięcy zespół Barttera z głuchotą zmysłowo-nerwowąZespół Barttera typu 4 · Zespół Barttera typu IV
csKojenecký Bartterův syndrom se senzorineurální hluchotouBartterův syndrom, typ 4 · Bartterův syndrom, typ IV
ukСиндром Барттера, тип 4Синдром Барттера, тип IV · Синдром Барттера з сенсоневральною глухотою · Синдром Барттера з сенсоневральною приглухуватістю
zh小儿巴特综合征伴感音神经性聋小儿Bartter综合征伴感音神经性听力丧失
trSensörinöral sağırlık ile seyreden infantil Bartter sendromuBartter sendromu tip 4 · Bartter sendromu tip IV · Sensörinöral işitme kaybı olan infantil Bartter sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM602522BTNTvalidated
OMIM613090BTNTvalidated
ICD-10E26.8NTBTattributedvalidated
ICD-11GB90.43NTBTindexvalidated
MONDO0019524Evalidated
UMLSC3838860Evalidated
GARD10508Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CLCNKADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2026ENSG000001865106020241p36.13chloride voltage-gated channel Ka18310267[PMID]_18776122[PMID]_12920401[PMID]
CLCNKBDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2027ENSG000001849086020231p36.13chloride voltage-gated channel Kb18310267[PMID]_18776122[PMID]_12920401[PMID]
BSNDDisease-causing germline mutation(s) inAssessedHGNC:16512ENSG000001623996064121p32.3barttin CLCNK type accessory subunit beta23110775[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—EuropeClass onlyValidatedORPHANET_[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

36 annotations · validated 2021-02-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008619Bilateral sensorineural hearing impairment
HP:0000841Hyperactive renin-angiotensin system
HP:0002900Hypokalemia
HP:0001960Hypokalemic metabolic alkalosis
HP:0004727Impaired renal concentrating ability
HP:0000859Increased circulating aldosterone concentration
HP:0000848Increased circulating renin level
HP:0000127Renal salt wasting
Frequent (79-30%)
HP:0012622Chronic kidney disease
HP:0025335Delayed ability to stand
HP:0031936Delayed ability to walk
HP:0001508Failure to thrive
HP:0002150Hypercalciuria
HP:0003527Hyperprostaglandinuria
HP:0003113Hypochloremia
HP:0002917Hypomagnesemia
HP:0002902Hyponatremia
HP:0001252Hypotonia
HP:0003081Increased urinary potassium
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0001561Polyhydramnios
HP:0001622Premature birth
HP:0001518Small for gestational age
Occasional (29-5%)
HP:0001919Acute kidney injury
HP:0002312Clumsiness
HP:0001944Dehydration
HP:0000712Emotional lability
HP:0040288Nasogastric tube feeding
HP:0000121Nephrocalcinosis
HP:0001525Severe failure to thrive
HP:0003774Stage 5 chronic kidney disease
HP:0002013Vomiting
Very rare (<4-1%)
HP:0000411Protruding ear
HP:0000325Triangular face
Excluded (0%)
HP:0000822Hypertension

Run the differential on the 8 obligate / very frequent terms

Annotation source: 11433084[PMID]_12574213[PMID]_31667618[PMID]_18310267[PMID]_16572343[PMID]

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Sources for this card