Gitelman Syndrome in a Case of Diabetic Kidney Disease: A Diagnostic and Therapeutic Dilemma

Abstract

Gitelman syndrome is an autosomal recessive disorder that usually presents with hypokalemia, hypomagnesemia, hypocalciuria and normal blood pressure. In contrast to Bartter syndrome it presents in late adulthood. Hypokalemia in a patient of chronic kidney disease is not a usual finding. Here we present a case of intractable hypokalemia due to Gitelman syndrome with hypertension in a background of chronic kidney disease, which poses both a diagnostic as well as a therapeutic dilemma.

Keywords

• chronic kidney disease
• hypertension
• hypokalemia