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ALL / Endocrinology

Gitelman's syndrome

Gitelman's syndrome

Gitelman's syndrome is due to a defect in the thiazide-sensitive Na+ Cl- transporter in the distal convoluted tubule.

Features
  • normotension
  • hypokalaemia
  • hypocalciuria
  • hypomagnesaemia
  • metabolic alkalosis

Diagnosis
  • genetic testing for mutations in the SLC12A3 gene

Management
  • oral potassium and magnesium supplementation
  • potassium-sparing diuretics may be used if still hypokalaemic/symptomatic
+PassMedicine Notes

Gitelman's syndrome is due to a defect in the thiazide-sensitive Na+ Cl- transporter in the distal convoluted tubule.

Features
  • normotension
  • hypokalaemia
  • hypocalciuria
  • hypomagnesaemia
  • metabolic alkalosis
Diagnosis
  • genetic testing for mutations in the SLC12A3 gene
Management
  • oral potassium and magnesium supplementation
  • potassium-sparing diuretics may be used if still hypokalaemic/symptomatic


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