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Features include: Hyperkalemia, Pseudohypoaldosteronism, Hypertension, and Hyperchloremic acidosis and 1 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 1 | Hypertension |
No formal diagnostic criteria for PHAII have been published.
Pseudohypoaldosteronism type II (PHAII) should be suspected in individuals with the following clinical features, supportive laboratory findings, and family history. Clinical features. Hypertension (blood pressure 140/90 mm Hg) generally manifesting in adolescence or adulthood but also reported in children. Note: The absence of frank hypertension does not preclude the diagnosis.
Supportive laboratory findings
No approved treatments are currently available for pseudohypoaldosteronism type 2A. The disease remains an area of unmet medical need.
To establish the extent of disease and needs of an individual diagnosed with pseudohypoaldosteronism type II (PHAII), the following evaluations (if not performed as part of the diagnostic evaluation) are recommended:
Serum electrolyte analysis
Appropriate surveillance includes routine electrolyte and blood pressure measurements, monitored in the same manner as for any person treated with a thiazide diuretic.
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
No clinical trials have been registered for pseudohypoaldosteronism type 2A.
69 publications have been identified in PubMed for pseudohypoaldosteronism type 2A. Research spans Case Report / Case Series (67%), Review / Meta-Analysis (16%), and Basic Science / Preclinical (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 46 | 67% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:54 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Pseudohypoaldosteronism type II (PHAII) is characterized by hyperkalemia despite normal glomerular filtration rate (GFR) and frequently by hypertension. More than 180 individuals and families with PHAII have been reported. The clinical presentation of PHAII is heterogeneous. The most consistent clinical feature in both children and young adults is hyperkalemia . As with essential hypertension, blood pressure is usually normal in young persons, with hypertension developing later in life. Untreated individuals with elevated blood pressure are at risk of developing complications of hypertension including cardiac disease, renal impairment, and stroke. Other associated findings in both children and adults include hyperchloremia, metabolic acidosis, and suppressed plasma renin levels.
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
Other causes of hyperkalemia. Hyperkalemia resulting from the following can generally be distinguished from hyperkalemia caused by PHAII on the basis of plasma renin levels, which are increased in the following conditions and suppressed in PHAII:
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
Biomarker and diagnostic research for pseudohypoaldosteronism type 2A has been reported in the published literature.
Noninvasive blood pressure measurement
Consultation with a clinical geneticist and/or genetic counselor
Electrolyte and blood pressure abnormalities of PHAII are often corrected with thiazide diuretics. Metabolic abnormalities and hypertension generally improve within one week. Different thiazide diuretics exist, with different dosing regimens. In general dosing is titrated to normalization of blood pressure. It is possible that dosing will need to be increased over time or that additional anti-hypertensives will be required to adequately control blood pressure. There are no established guidelines regarding age at which treatment should begin for individuals with PHAII, but affected children who have hypertension are generally treated.
See .
Control of blood pressure is important to reduce the risk for cardiovascular and renal disease and stroke.
Appropriate surveillance includes routine electrolyte and blood pressure measurements, monitored in the same manner as for any person treated with a thiazide diuretic.
Untreated individuals with PHAII should avoid excessive...
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
Untreated individuals with PHAII should avoid excessive intake of foods high in salt and potassium as these may exacerbate hypertension and hyperkalemia.
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Pseudohypoaldosteronism Type II"
View trials for pseudohypoaldosteronism type 2A
Research summaries
11 |
16% |
Laboratory research | 5 | 7% |
Disease patterns and progression | 5 | 7% |
Testing and diagnosis research | 2 | 3% |
Abd El-Aziz TM (2026). [PMID: 41498836](https://pubmed.ncbi.nlm.nih.gov/41498836/). *Purinergic Signal*. [Review / Meta-Analysis]
Cay M (2026). [PMID: 41380172](https://pubmed.ncbi.nlm.nih.gov/41380172/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]
Musa SA (2026). [PMID: 42255436](https://pubmed.ncbi.nlm.nih.gov/42255436/). *Front Endocrinol (Lausanne)*. [Case Report / Case Series]
Lessa LMA (2026). [PMID: 42258358](https://pubmed.ncbi.nlm.nih.gov/42258358/). *Am J Physiol Renal Physiol*. [Basic Science / Preclinical]
Bahadoran E (2026). [PMID: 41522852](https://pubmed.ncbi.nlm.nih.gov/41522852/). *Clin Case Rep*. [Case Report / Case Series]
Wang Z (2026). [PMID: 41457049](https://pubmed.ncbi.nlm.nih.gov/41457049/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Calviño-Costas M (2026). [PMID: 40975704](https://pubmed.ncbi.nlm.nih.gov/40975704/). *Med Intensiva (Engl Ed)*. [Case Report / Case Series]
Wu Z (2026). [PMID: 41982973](https://pubmed.ncbi.nlm.nih.gov/41982973/). *Transl Pediatr*. [Case Report / Case Series]
Elkina S (2026). [PMID: 42042681](https://pubmed.ncbi.nlm.nih.gov/42042681/). *Pediatr Rep*. [Case Report / Case Series]
Bolaç Özyılmaz LG (2026). [PMID: 41275343](https://pubmed.ncbi.nlm.nih.gov/41275343/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]