Soonchunhyang Med Sci.  2016 Dec;22(2):136-140. 10.0000/sms.2016.22.2.136.

Clinical Study of a Newly Diagnosed Case of Gitelman Syndrome in a Patient Monitored for Liddle Syndrome

Affiliations
  • 1Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. wondoful1958@paik.ac.kr

Abstract

A 55-year-old man who had been monitored for Liddle syndrome in the nephrology division for 15 years visited again Inje University Sanggye Paik Hospital for a newly developed electrolyte disorder. Because his blood pressure was normal and he showed hypomagnesemia and hypokalemia, a renal clearance test and renal biopsy were conducted for suspected Gitelman syndrome. The patient was diagnosed with Gitelman syndrome, which has been previously reported 12 cases in South Korea. The renal clearance test revealed a disorder of the Na-Cl cotransporter (NCCT) in the distal tubule, while the renal biopsy revealed partial expression of NCCT, typical of Gitelman syndrome. Currently, the patient is being monitored, and is receiving oral administration of calcium and magnesium.

Keyword

Gitelman syndrome; Liddle syndrome; Hypomagnesemia; Hypokalemia; Solute carrier family 12, member 3

MeSH Terms

Administration, Oral
Biopsy
Blood Pressure
Calcium
Clinical Study*
Gitelman Syndrome*
Humans
Hypokalemia
Korea
Liddle Syndrome*
Magnesium
Middle Aged
Nephrology
Solute Carrier Family 12, Member 3
Calcium
Magnesium
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