Hypokalemic rhabdomyolysis in a child with Bartter's syndrome.
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.
Pela
Ivana
I
Pediatric Nephrology, Department of Pediatrics, University of Florence, Firenze, Italy. ivana.pela@unifi.it
Materassi
Marco
M
Seracini
Daniela
D
Lavoratti
Giancarlo
G
Bettinelli
Alberto
A
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*
D003402:Creatine Kinase