Young Female, Fatigue, Hypokalemia, Hyperglycemia

We report a case of a young female patient with fatigue, hypokalemia, and hyperglycemia. She had past-history of diabetes mellitus, and was admitted to hospital with a history of fatigue and hypokalemia for 5 years. The patient's examination indicated hypokalemia, hypomagnesemia, metabolic alka...

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Main Authors: CHEN Rong, WANG Xi, SONG An, WANG Jiajia, LI Wei, CHEN Shi, XING Xiaoping
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-03-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0490
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author CHEN Rong
WANG Xi
SONG An
WANG Jiajia
LI Wei
CHEN Shi
XING Xiaoping
author_facet CHEN Rong
WANG Xi
SONG An
WANG Jiajia
LI Wei
CHEN Shi
XING Xiaoping
author_sort CHEN Rong
collection DOAJ
description We report a case of a young female patient with fatigue, hypokalemia, and hyperglycemia. She had past-history of diabetes mellitus, and was admitted to hospital with a history of fatigue and hypokalemia for 5 years. The patient's examination indicated hypokalemia, hypomagnesemia, metabolic alkalosis, hypocalciuria, and SLC12A3 gene pathogenic mutation. The diagnosis was Gitelman syndrome. Potassium and magnesium supplements were given to improve the patient's fatigue. Serum potassium and magnesium were normal. The blood glucose reached standard after treatment with oral hypoglycemic drugs. This article incorporates literature review to sort out the diagnosis and treatment of Gitelman syndrome, in order to provide feasible reference for clinicians.
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publisher Editorial Office of Medical Journal of Peking Union Medical College Hospital
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spelling doaj.art-180f99e18ce94f5bad28bead87bdb4232024-04-07T00:56:30ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-03-0115245646110.12290/xhyxzz.2023-0490Young Female, Fatigue, Hypokalemia, HyperglycemiaCHEN RongWANG XiSONG AnWANG JiajiaLI WeiCHEN ShiXING XiaopingWe report a case of a young female patient with fatigue, hypokalemia, and hyperglycemia. She had past-history of diabetes mellitus, and was admitted to hospital with a history of fatigue and hypokalemia for 5 years. The patient's examination indicated hypokalemia, hypomagnesemia, metabolic alkalosis, hypocalciuria, and SLC12A3 gene pathogenic mutation. The diagnosis was Gitelman syndrome. Potassium and magnesium supplements were given to improve the patient's fatigue. Serum potassium and magnesium were normal. The blood glucose reached standard after treatment with oral hypoglycemic drugs. This article incorporates literature review to sort out the diagnosis and treatment of Gitelman syndrome, in order to provide feasible reference for clinicians.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0490hypokalemiahypomagnesemiagitelman syndromediabetes
spellingShingle CHEN Rong
WANG Xi
SONG An
WANG Jiajia
LI Wei
CHEN Shi
XING Xiaoping
Young Female, Fatigue, Hypokalemia, Hyperglycemia
Xiehe Yixue Zazhi
hypokalemia
hypomagnesemia
gitelman syndrome
diabetes
title Young Female, Fatigue, Hypokalemia, Hyperglycemia
title_full Young Female, Fatigue, Hypokalemia, Hyperglycemia
title_fullStr Young Female, Fatigue, Hypokalemia, Hyperglycemia
title_full_unstemmed Young Female, Fatigue, Hypokalemia, Hyperglycemia
title_short Young Female, Fatigue, Hypokalemia, Hyperglycemia
title_sort young female fatigue hypokalemia hyperglycemia
topic hypokalemia
hypomagnesemia
gitelman syndrome
diabetes
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0490
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AT wangxi youngfemalefatiguehypokalemiahyperglycemia
AT songan youngfemalefatiguehypokalemiahyperglycemia
AT wangjiajia youngfemalefatiguehypokalemiahyperglycemia
AT liwei youngfemalefatiguehypokalemiahyperglycemia
AT chenshi youngfemalefatiguehypokalemiahyperglycemia
AT xingxiaoping youngfemalefatiguehypokalemiahyperglycemia