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Gitelman syndrome, a rare condition: three clinical cases and pathophysiology review

dc.contributor.authorMeireles, Daniel
dc.contributor.authorFigueiredo, Rafael
dc.contributor.authorRocha, Liliana
dc.contributor.authorCunha, Joaquim
dc.contributor.authorMatos, Paula
dc.date.accessioned2021-11-23T10:56:51Z
dc.date.available2021-11-23T10:56:51Z
dc.date.issued2020-12
dc.description.abstractIntroduction: Gitelman syndrome (GS) is a renal tubular disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria. Clinical manifestations are nonspecific. Herein are reported three cases of GS with different age of onset, clinical manifestations, and management. Case Reports: Case 1 was a sixteen-year-old female, while Cases 2 and 3 presented at an atypical age (seven and eight years). Clinical manifestations mainly consisted of abdominal pain with vomits, together with past history of muscular weakness in Case 1. Diagnosis was based on usual electrolyte abnormalities, such as metabolic alkalosis with hypokalemia. Genetic diagnosis was confirmed in Case 3. Patients were treated with oral potassium, magnesium, and spironolactone, with symptom and electrolytic profile improvement. Discussion/Conclusions: GS is a rare condition that should be considered in cases of metabolic alkalosis and hypokalemia and all pediatricians should be aware of. Diagnosis is established based on biochemical profile and treatment response.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMeireles D, Figueiredo R, Rocha L, Cunha J, Matos P, Nascer e Crescer - Birth and Growth Medical Journal 2020;29(4): 204-208. doi:10.25753/BirthGrowthMJ.v29.i4.18611pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v29.i4.18611pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2609
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/18611pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectGitelman syndromept_PT
dc.subjecthypokalemiapt_PT
dc.subjectmetabolic alkalosispt_PT
dc.subjecttubular hypomagnesemia-hypokalemia with hypocalciuriapt_PT
dc.subjecttubulopathypt_PT
dc.titleGitelman syndrome, a rare condition: three clinical cases and pathophysiology reviewpt_PT
dc.title.alternativeSíndrome de gitelman, uma condição rara: três casos clínicos e revisão da fisiopatologiapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage208pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage204pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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