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Official publication of the Indian Society of Nephrology
 
CASE REPORT
Ahead of Print

Gitelman syndrome presenting with cerebellar ataxia and tetany


1 Consultant Physician and Diabetologist, Sterling Hospital, Ahmedabad, Gujarat, India
2 Neurologist, Sterling Hospital, Ahmedabad, Gujarat, India
3 Nephrologist, Sterling Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Shalini Pandya,
Consultant Physician and Diabetologist, Sterling Hospital, Memnagar, Ahmedabad - 380 052, Gujarat
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.ijn_401_21

Gitelman syndrome (GS) is salt-losing tubulopathy characterized by hypokalemia, hypomagnesemia, hypocalciuria, hyperreninemia, hyperaldosteronemia, metabolic alkalosis, and rarely hypocalcemia. Here, we describe the case of a 54-year-old man who presented with cerebellar signs and tetany. On investigation, he was found to have hypokalemia, hypocalcemia, hypomagnesemia, metabolic alkalosis, and high urinary chloride levels. On correction of metabolic parameters, he became asymptomatic. In cases of unexplained recurrent hypokalemia, hypocalcemia and hypomagnesemia, the diagnosis of GS should be considered.


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Indian Journal of Nephrology
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Online since 20th Sept '07