  |
|
 |
|
Case Report
| ||||||
| A rare cause of rhabdomyolysis: Gitelman syndrome | ||||||
| Yaşar Yildirim1, Ali Veysel Kara1, Zulfikar Yilmaz1, Erdal Bodakci2, Vehbi Demircan2, Ali Kemal Kadiroglu1, Mehmet Emin Yilmaz1 | ||||||
|
1Dicle University Faculty of Medicine, Department of Nephrology, Diyarbakir, Turkey.
2Dicle University Faculty of Medicine, Department of Internal Medicine, Diyarbakir, Turkey. | ||||||
| ||||||
|
[HTML Abstract]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Yildirim Y, Kara AV, Yilmaz Z, Bodakci E, Demircan V, Kadiroglu AK, Yilmaz ME. A rare cause of rhabdomyolysis: Gitelman syndrome. Int J Case Rep Images 2015;6(10):618–621. |
|
Abstract
|
|
Introduction:
Gitelman syndrome is a rare and autosomal recessive disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, hypocalciuria and hypertension. A careful history, physical examination and determination of urine chloride concentration are important for diagnosis. In this case report, we discuss a patient with hypokalemia and rhabdomyolysis which is diagnosed as Gitelman syndrome.
Case Report: A patient with sudden loss of sensation in the arms and legs and difficulty in the moving admitted to the emergency service. She had intermittent weakness in the extremities and chronic fatigue complaints over the last ten years. In her laboratory examination, serum potassium level, serum creatinine level and creatine kinase level were found 1.4 mEq/L, 1.58 mg/dl and >4260, respectively. The patient was transferred to our clinic due to hypokalemia etiology. She was diagnosed as Gitelman syndrome after a detailed medical history, physical examination and laboratory evaluation. Central venous catheter was opened and vigorous potassium chloride replacement was made. Patient's symptoms and muscle enzymes were improved with potassium replacement. Oral potassium citrate, spironolactone, magnesium citrate was started in addition to intravenous potassium chloride after the patient was diagnosed as Gitelman syndrome. After that, clinical and laboratory findings of the patient were improved progressively and patient was discharged with normal laboratory findings. Conclusion: As a result; Gitelman syndrome should be thought in the differential diagnosis of hypokalemic rhabdomyolysis although it is a rare disease. | |
|
Keywords:
Gitelman syndrome, Hypokalemia, Rhabdomyolysis, Sensation loss, Weakness
| |
|
[HTML Abstract]
[PDF Full Text]
|
|
Author Contributions
Yaşar Yildirim – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ali Veysel Kara – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Zulfikar Yilmaz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Erdal Bodakci – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Vehbi Demircan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Ali Kemal Kadiroglu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mehmet Emin Yilmaz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2015 Yaşar Yildirim et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|