1
|
Cao Y, Hu D, Yun P, Huang X, Chen Y, Li F. Gitelman syndrome diagnosed in the first trimester of pregnancy: a case report and literature review. CASE REPORTS IN PERINATAL MEDICINE 2022. [DOI: 10.1515/crpm-2021-0075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Objectives
Gitelman syndrome is a rare salt-losing tubulopathy caused by inactivating mutations in the SLC12A3 gene, which is expressed in the distal convoluted tubule and accounts for 5–10% of renal sodium reabsorption. Atypical symptoms and insidious conditions generally delay diagnosis until childhood or even adulthood. Here, we report the case of a 22-year-old Chinese woman who was admitted to our endocrinology department for severe hypokalemia during pregnancy.
Case presentation
The patient had no specific symptoms but exhibited hypokalemia, metabolic alkalosis, hypomagnesemia, hypocalciuria, hyperreninemia, hyperaldosteronism, and normal blood pressure. Together, these symptoms indicated the clinical diagnosis of Gitelman syndrome, which was confirmed by genetic analysis. Many drugs have limited safety data during early pregnancy, and optimum potassium and magnesium levels are necessary for a successful pregnancy.
Conclusions
Diagnosis and management of Gitelman syndrome are crucial during pregnancy to ensure the safety of the mother and fetus, especially during the first trimester.
Collapse
Affiliation(s)
- Yang Cao
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| | - Dan Hu
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| | - Peng Yun
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| | - Xinwei Huang
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| | - Yan Chen
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| | - Fangping Li
- Department of Endocrinology , The Seventh Affiliated Hospital, Sun Yat-sen University , Shenzhen , Guangdong , China
| |
Collapse
|