title: Hypokalemic rhabdomyolysis in a child with Bartter's syndrome.
abstract: Hypokalemia represents a rare cause of rhabdomyolysis. Some reports have described a few adult patients affected by Bartter's syndrome and Gitelman's syndrome with rhabdomyolysis due to severe hypokalemia. We report the first pediatric patient with Bartter's syndrome in whom rhabdomyolysis developed when her plasma potassium level was less than 2 mEq/l. Prompt intravenous fluid and potassium prevented tubular damage and acute renal failure. We recommend determining serum creatine phosphokinase in all patients affected by Bartter's syndrome and profound hypokalemia.
authors.affiliation: Pediatric Nephrology, Department of Pediatrics, University of Florence, Firenze, Italy. ivana.pela@unifi.it
authors.forename: Ivana
authors.initials: I
authors.lastname: Pela
authors.forename: Marco
authors.initials: M
authors.lastname: Materassi
authors.forename: Daniela
authors.initials: D
authors.lastname: Seracini
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Lavoratti
authors.forename: Alberto
authors.initials: A
authors.lastname: Bettinelli
mesh_terms: D001477:Bartter Syndrome / Q000150:complications*; D002675:Child, Preschool; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000209:etiology* / Q000503:physiopathology; D007668:Kidney / Q000503:physiopathology; D012206:Rhabdomyolysis / Q000209:etiology*
chemical_list: D003402:Creatine Kinase