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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
CHRONIC HYPOKALEMIA, HYPOMAGNESEMIA DUE TO GITELMAN SYNDROME: A CASE REPORT
Author
Anvar MI1*, Raghavendra Nagammanavar2, Bellara Raghavendra3
Email
anwarmd@yahoo.co.in
keyword
Gitelman Syndrome, Hypokalemia, Hypomagnesemia, Hypocalciuria and Metabolic alkalosis.
Abstract
Gitelman Syndrome is a genetic disorder of salt wasting causing Hypokalemia, Hypomagnesemia, Hypocalciuria and Metabolic alkalosis. It is an Autosomal recessive disorder, which runs in families. Patients present with muscle cramps weakness, pain, nausea, vomiting, loss of appetite and history of joint pains. Since patients have polyuria and polydipsia, it is very important to calculate the urinary losses to supplement potassium intravenously and simultaneously correcting magnesium deficiency. We report a case of 16 year old male who came to us with weakness of all the limbs, pain on movements, nausea, hypotension, Hypokalemia, Hypomagnesemia, who had polyuria and large losses of urinary potassium in spite of severe hypokalemia. It was a therapeutic challenge for us to supplement large amounts of potassium intravenously and magnesium simultaneously.
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