Smart Medical Journal
Vol 5, No 2 (2022): Smart Medical Journal

A 21-Year-Old Woman with Suspecting Gitelman Syndrome

Berty Denny (1. Universitas Sebelas Maret Hospital, Ahmad Yani 200, Makamhaji, Sukoharjo, Central Java, 57161 2. Faculty of Medicine, Universitas Sebelas Maret, Ir Sutami Street No 36, Kentingan, Jebres, Surakarta, Central Java, 57126)
Nurhasan Agung Prabowo (1. Universitas Sebelas Maret Hospital, Ahmad Yani 200, Makamhaji, Sukoharjo, Central Java, 57161 2. Faculty of Medicine, Universitas Sebelas Maret, Ir Sutami Street No 36, Kentingan, Jebres, Surakarta, Central Java, 57126)
Desy Puspa Putri (1. Universitas Sebelas Maret Hospital, Ahmad Yani 200, Makamhaji, Sukoharjo, Central Java, 57161 2. Faculty of Medicine, Universitas Sebelas Maret, Ir Sutami Street No 36, Kentingan, Jebres, Surakarta, Central Java, 57126)
Risalina Myrtha (1. Universitas Sebelas Maret Hospital, Ahmad Yani 200, Makamhaji, Sukoharjo, Central Java, 57161 2. Faculty of Medicine, Universitas Sebelas Maret, Ir Sutami Street No 36, Kentingan, Jebres, Surakarta, Central Java, 57126)
Hendrastutik Apriningsih (1. Universitas Sebelas Maret Hospital, Ahmad Yani 200, Makamhaji, Sukoharjo, Central Java, 57161 2. Faculty of Medicine, Universitas Sebelas Maret, Ir Sutami Street No 36, Kentingan, Jebres, Surakarta, Central Java, 57126)



Article Info

Publish Date
20 Sep 2022

Abstract

Introduction: Gitelman syndrome (GS), is a hereditary condition marked by a specific kidney function impairment. GS symptoms do not normally manifest until beyond the age of six years. We present a rare case of a 21-year-old woman with a background in generalized weakness muscle cramps with tetany, fever, and dyspnea.  The goal of this study is to give a case report of Gitelman syndrome suspicion.Result: Gitelman syndrome is identified through clinical indicators and lab testing, such as low potassium and magnesium levels in the blood, metabolic alkalosis, and low calcium levels in the urine. We do a variety of physical and laboratory tests to determine the disease and rule out other possibilities. Molecular proof is difficult to get due to a lack of resources and the high expense of genetic testing, which has become one of our case report's flaws. This patient was diagnosed as suspecting Gitelman syndrome and treated for electrolyte imbalances. The patients were given replacement therapy, which comprised intravenous potassium, sodium, and chloride therapy, as well as calcium therapy. In addition, we also provided some symptomatic therapy. She was discharged five days later in fine condition.Conclusion : This is one of the few reports of a 21-year-old lady being suspected of having Gitelman syndrome (GS). We conduct a battery of physical and laboratory tests to diagnose the disease and rule out other possibilities. We provide the appropriate therapies in accordance with the guidelines, and the outcomes are favorable.

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Journal Info

Abbrev

SMedJour

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Smart Medical Journal (SmedJour) is published by Faculty of Medicine Universitas Sebelas Maret. SMedJour publishes original research articles or article review in the basic medical sciences, clinic medical sciences, medical education and public health. ...