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Asymptomatic hypokalemia and hypomagnesemia with renal cation loss (Gitelman syndrome)

Asymptomatic hypokalemia and hypomagnesemia with renal cation loss (Gitelman syndrome)

Monatsschrift Kinderheilkunde 135(6): 340-342

Hypokalemia with hyperkaliuresis was diagnosed in a 10 1/4-year-old boy, who presented with spontaneously disappearing abdominal pain. The diagnosis of Gitelman-Syndrome (asymptomatic chronic hypokalemia and -magnesemia) was established after detection of hypomagnesemia, renal magnesium losing but normal renin-angiotensin-aldosterone system and glomerular filtration rate. After oral supplementation of potassium hypokalemia persisted and hyperkaliuresis increased. The substitution was discontinued, the hyperkaliuresis diminished and the child remained asymptomatic during a 24 months follow-up. The substitution of potassium and magnesium can be avoided in children with Gitelman-Syndrome as long as they remain asymptomatic.

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Accession: 039341031

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PMID: 3614231

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