[Intractable renal and enteral loss of potassium in a case of Turner's syndrome (author's transl)].
A case of Turner's syndrome is presented; many congenital defects were detected. Predominant clinical findings were cheilognatoschisis, respiratory distress, caused by congenital bronchiektasis and chronic hypokalemia with paroxysmal attacks of paralysis and tetania. Hypokalemia was mainly due to gastrointestinal losses as a consequence of permanent vomiting in the presence of stomach atonia and hiatus insufficiency or because of "third space losses", while a subileus persisted chronically. Furthermore also a renal loss of serum potassium was evident in the patient's predialytic time. Basic renal diseases were pyelonephritis, renal damage from phenacetine abuse, or probably even a nephropathy due to potassium depletion. Uraemia was controlled by dialysis treatment and by a dialysate consisting of 7 and 6 mmol/l potassium respectively. The result of this intense therapy was physical rehabilitation and the patient finally could resume her professional work again.
D000328:Adult; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications; D007413:Intestinal Mucosa / Q000378:metabolism; D007668:Kidney / Q000378:metabolism; D011188:Potassium / Q000097:blood / Q000378:metabolism*; D006435:Renal Dialysis; D014424:Turner Syndrome / Q000378:metabolism*; D014511:Uremia / Q000628:therapy
D011188:Potassium
Intraktabler renaler und enteraler Kaliumverlust bei Turner-Syndrom. Hämodialyse mit kaliumreichem Dialysat.