Gitelman's syndrome first diagnosed as Bartter's syndrome

H. Tsuchiya, K. Kamoi, S. Soda, H. Sasaki, K. Kobayashi, M. Hayashi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 29-year-old man, who had been treated with potassium, spironolactone and indomethacin for over 9 years, was admitted because of nausea, vomiting, diarrhea and tetany manifestation. At the age of 20, he had been diagnosed as having Bartter's syndrome according to the criteria of the Japanese Ministry of Health and Welfare. Findings on admission were hypokalemia, hypomagnesemia and hypocalciuria. Renal distal fractional reabsorption rates of sodium, chloride and calcium were markedly decreased by administration of furosemide but there was no obvious change with administration of thiazide. These findings indicate that the patient had Gitelman's syndrome rather than Bartter's syndrome.

Original languageEnglish
Pages (from-to)1011-1014
Number of pages4
JournalInternal Medicine
Volume40
Issue number10
DOIs
Publication statusPublished - 2001 Jan 1

Keywords

  • Furosemide test
  • Hypocalciuria
  • Hypokalemia
  • Hypomagnesemia
  • Thiazide test

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Tsuchiya, H., Kamoi, K., Soda, S., Sasaki, H., Kobayashi, K., & Hayashi, M. (2001). Gitelman's syndrome first diagnosed as Bartter's syndrome. Internal Medicine, 40(10), 1011-1014. https://doi.org/10.2169/internalmedicine.40.1011