Inherited renal tubular defects with hypokalemia

Bartter′s and Gitelman′s syndrome are two ends of a spectrum of inherited renal tubular disorders that present with hypokalemic metabolic alkalosis of varying severity. Clinical features and associated calcium and magnesium ion abnormalities are used to diagnose these cases aft...

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Main Authors: Muthukrishnan J, Modi K, Kumar P, Jha Ratan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Subjects:
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=2;spage=274;epage=277;aulast=Muthukrishnan
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author Muthukrishnan J
Modi K
Kumar P
Jha Ratan
author_facet Muthukrishnan J
Modi K
Kumar P
Jha Ratan
author_sort Muthukrishnan J
collection DOAJ
description Bartter′s and Gitelman′s syndrome are two ends of a spectrum of inherited renal tubular disorders that present with hypokalemic metabolic alkalosis of varying severity. Clinical features and associated calcium and magnesium ion abnormalities are used to diagnose these cases after excluding other commoner causes. We report on two cases, the first being a young boy, born of pregnancy complicated by polyhydramnios, who had classical dysmorphic features, polyuria, hypokalemia and hypercalciuria and was diagnosed as having Bartter′s syndrome. The second patient is a lady who had recurrent tetany as the only manifestation of Gitelman′s syndrome, which is an unusual presentation. Potassium replacement with supplementation of other deficient ions led to satisfactory clinical and biochemical response.
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spelling doaj.art-294c0df0c65b4827b12282d2f23cdd242022-12-21T19:13:11ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422009-01-01202274277Inherited renal tubular defects with hypokalemiaMuthukrishnan JModi KKumar PJha RatanBartter′s and Gitelman′s syndrome are two ends of a spectrum of inherited renal tubular disorders that present with hypokalemic metabolic alkalosis of varying severity. Clinical features and associated calcium and magnesium ion abnormalities are used to diagnose these cases after excluding other commoner causes. We report on two cases, the first being a young boy, born of pregnancy complicated by polyhydramnios, who had classical dysmorphic features, polyuria, hypokalemia and hypercalciuria and was diagnosed as having Bartter′s syndrome. The second patient is a lady who had recurrent tetany as the only manifestation of Gitelman′s syndrome, which is an unusual presentation. Potassium replacement with supplementation of other deficient ions led to satisfactory clinical and biochemical response.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=2;spage=274;epage=277;aulast=MuthukrishnanBartter′s syndromeGitelman′s syndromeHypokalemia
spellingShingle Muthukrishnan J
Modi K
Kumar P
Jha Ratan
Inherited renal tubular defects with hypokalemia
Saudi Journal of Kidney Diseases and Transplantation
Bartter′s syndrome
Gitelman′s syndrome
Hypokalemia
title Inherited renal tubular defects with hypokalemia
title_full Inherited renal tubular defects with hypokalemia
title_fullStr Inherited renal tubular defects with hypokalemia
title_full_unstemmed Inherited renal tubular defects with hypokalemia
title_short Inherited renal tubular defects with hypokalemia
title_sort inherited renal tubular defects with hypokalemia
topic Bartter′s syndrome
Gitelman′s syndrome
Hypokalemia
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=2;spage=274;epage=277;aulast=Muthukrishnan
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AT modik inheritedrenaltubulardefectswithhypokalemia
AT kumarp inheritedrenaltubulardefectswithhypokalemia
AT jharatan inheritedrenaltubulardefectswithhypokalemia