title: Gitelman's Syndrome Presenting with Hypocalcaemia - A Case Report.
abstract: Gitelman's syndrome is an autosomal recessive renal tubular disorder characterized by severe hypomagnesaemia, hypokalaemia, metabolic alkalosis and hypocalcaemia. It is caused by defective NaCl transport in the Distal Convoluted Tubule and presents in adolescence or adulthood, with a distinctly more benign course than Bartter's Syndrome. The dominant clinical features are muscle weakness, fatigue, carpopedal spasm, cramps and tetany. We report the case of a 26 year old male who presented with flaccid quadriparesis and carpopedal spasms, hypokalaemia, hypomagnesaemia, hypocalcaemia and severe urinary magnesium wasting. He was treated with potassium and magnesium supplementation and regained full function of all limbs.
authors.affiliation: Dr Fathima Aaysha Cader, Honorary Medical Officer, Dhaka Medical College Hospital.
authors.forename: F A
authors.initials: FA
authors.lastname: Cader
authors.forename: A
authors.initials: A
authors.lastname: Kabir
authors.forename: R
authors.initials: R
authors.lastname: Mayedah
authors.forename: M S
authors.initials: MS
authors.lastname: Masud
authors.forename: F
authors.initials: F
authors.lastname: Quadir
authors.forename: M N
authors.initials: MN
authors.lastname: Hossen
mesh_terms: D000328:Adult; D000471:Alkalosis; D001477:Bartter Syndrome; D053579:Gitelman Syndrome; D006801:Humans; D006996:Hypocalcemia; D007008:Hypokalemia; D008297:Male