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Kidney Res Clin Pract. 2017 Mar;36(1):95-99. English. Case Report. https://doi.org/10.23876/j.krcp.2017.36.1.95
Lee M , Kim DI , Lee KH , Byun JH , Hwang J , Hwang WM , Yun SR , Yoon SH .
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. sehei@hanmail.net
Abstract

Gitelman syndrome is characterized by hypokalemia, metabolic alkalosis, hypocalciuria, and hypomagnesemia. The clinical course of Gitelman syndrome in pregnant women remains unclear, but it is thought to be benign. We report here the first Korean case of atypical eclampsia in a 31-year-old who was diagnosed with Gitelman syndrome incidentally during an antenatal screening test. The patient did well during pregnancy despite significant hypokalemia. At 33 weeks’ gestation, the patient exhibited eclampsia, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and renal insufficiency without significant hypertension or proteinuria. We explain this unusual clinical course through a review of the relevant literature.

Copyright © 2019. Korean Association of Medical Journal Editors.