Gitelman Syndrome in a Case of Diabetic Kidney Disease: A Diagnostic and Therapeutic Dilemma
Published: January 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/29991.11121
Vaibhav Seth, Niladri Sarkar, Somnath Mandal, Subhasis Neogi, Shambaditya Das
1. Resident, Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
2. Professor, Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
3. Resident, Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
4. Resident, Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
5. Resident, Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Correspondence
Dr. Vaibhav Seth,
Bb 25, Deshbandhu Nagar, Baguiati Aloya Apt, Block O, Kolkata-700059, West Bengal, India.
E-mail: kool.v.s.12@gmail.com
Gitelman syndrome is an autosomal recessive disorder that usually presents with hypokalemia, hypomagnesemia, hypocalciuria and normal blood pressure. In contrast to Bartter syndrome it presents in late adulthood. Hypokalemia in a patient of chronic kidney disease is not a usual finding. Here we present a case of intractable hypokalemia due to Gitelman syndrome with hypertension in a background of chronic kidney disease, which poses both a diagnostic as well as a therapeutic dilemma.
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