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Revista Colombiana de Reumatología
versão impressa ISSN 0121-8123
Resumo
HERNANDEZ GARCIA, Elena e TORRES SANCHEZ, María José. Diagnosis of gitelman syndrome in patient with condrocalcinosis. Rev.Colomb.Reumatol. [online]. 2020, vol.27, n.3, pp.202-204. Epub 25-Abr-2021. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2019.05.005.
Introduction:
Gitelman syndrome is a renal tubule disease that involves hypokalaemic metabolic alkalosis, hypomagnesaemia and hypocalciuria. The musculoskeletal effects of Gitelman syndrome are common, including the development of chondrocalcinosis.
Clinical case:
A female patient with long-standing chondrocalcinosis associated with chronic hypomagnesaemia on treatment with calcium and magnesium. After the suspension of the treatment due to surgery, she presented with a generalised weakness, metabolic alkalosis, hypokalaemia, hypomagnesaemia and hypocalciuria, with final diagnosis of Gitelman syndrome. After re-introducing the treatment, she improved clinically, with electrolytes remaining stable.
Discussion
and conclusions: A proper diagnosis of this type of tubular diseases is essential because an adequate treatment avoids associated complications.
Palavras-chave : Gitelman syndrome; Chondrocalcinosis; Hypomagnesaemia; Alkalosis; Hypokalaemia.