Document Detail


Choroidal calcifications in patients with Gitelman's syndrome.
MedLine Citation:
PMID:  11007691     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gitelman's syndrome is a renal tubular disorder characterized by a sodium and chloride reabsorption defect in distal tubular cells that determines hypokalemia, metabolic alkalosis, hypomagnesemia, and low calcium excretion. The presence of choroidal calcifications was sought in five patients with Gitelman's syndrome by ophthalmic examination, fluorescein angiography, indocyanine green angiography, and ocular ultrasonography. Calcifications observed in the choroid of two patients were shown by ultrasonography in both patients. Ophthalmic and fluorangiographic examinations detected this alteration in one of the two subjects. Chondrocalcinosis was found in one patient with choroidal calcifications. These findings suggest that precipitation of calcium salts can occur in the choroidal tissue of patients with Gitelman's syndrome. Deposits appeared to be well seen by ultrasonography because of their depth in ocular tissues. Sclerochoroidal calcifications may be favored by the low calcium excretion, which is associated with normal intestinal calcium absorption in patients with Gitelman's syndrome.
Authors:
G Vezzoli; L Soldati; A Jansen; L Pierro
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  36     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-10-13     Completed Date:  2000-10-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  855-8     Citation Subset:  IM    
Affiliation:
Divisions of Nephrology, Dialysis, and Hypertension and Ophthalmology, San Raffaele Scientific Institute, University of Milan, Italy. vezzoli.giuseppe@hsr.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alkalosis / pathology
Calcinosis / pathology*,  ultrasonography
Choroid / pathology*,  ultrasonography
Female
Humans
Hypokalemia / pathology
Kidney Diseases / metabolism,  pathology*
Kidney Tubules / metabolism,  pathology*
Magnesium / blood,  urine
Male
Middle Aged
Potassium / urine
Syndrome
Chemical
Reg. No./Substance:
7439-95-4/Magnesium; 7440-09-7/Potassium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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