BACKGROUND Hyperkalaemia is a potentially life-threatening electrolyte disturbance, most commonly encountered in neonates and infants with renal or endocrine abnormalities. Persistent hyperkalaemia in an otherwise clinically well child is unusual and warrants careful investigation. This case illustrates a rare coexistence of pseudohypoaldosteronism and adrenal insufficiency in an otherwise well infant, presenting solely with persistent hyperkalaemia. CASE SUMMARY We report a 6-month-old male inf
