| Gitelman's syndrome in pregnancy: case report and review of the literature. | |
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MedLine Citation:
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PMID: 20100726 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Gitelman's syndrome (GS), a rare renal disorder, results in hypokalaemia, hypomagnesaemia, hypocalciuria and a metabolic alkalosis. It is unclear if an alteration in management is necessary or beneficial during pregnancy. A 32-year-old woman with GS was managed in her second pregnancy. Antenatally, the patient required 39 (principally day case) admissions to the hospital for intravenous (IV) therapy and received a cumulative total of 47 l of IV 0.9% saline solution, 47 doses of 20 mmol magnesium chloride and 46 doses of 80 mmol potassium chloride. She delivered a 2940-g female infant in excellent condition by caesarean section. We would suggest that close attention to maternal weight gain during pregnancy is an easily available clinical tool to assess adequacy of fluid and electrolyte repletion in this condition. |
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Authors:
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Fergus P McCarthy; Ciara N Magee; William D Plant; Louise C Kenny |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-01-25 |
Journal Detail:
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Title: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association Volume: 25 ISSN: 1460-2385 ISO Abbreviation: Nephrol. Dial. Transplant. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-29 Completed Date: 2010-08-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706402 Medline TA: Nephrol Dial Transplant Country: England |
Other Details:
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Languages: eng Pagination: 1338-40 Citation Subset: IM |
Affiliation:
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The ANU Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork. Fergus.mccarthy@ucc.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Gitelman Syndrome / complications* Humans Hypocalcemia / etiology* Hypokalemia / diagnosis* Infant Magnesium Deficiency / diagnosis* Pregnancy Prognosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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