Abstract

GARCIA LUNA, Alfonso; ECHARTEA TOVAR, María Elena; MONTOYA CIFUENTES, Elton Alexis  and  GARCIA LUNA ANGULO, Emiliano. Gitelman syndrome in older adult. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.1, pp.71-75.  Epub Mar 22, 2022. ISSN 1870-7203.  https://doi.org/10.35366/92004.

Gitelman syndrome, initially described in 1966, also known as hypokalemia-hypomagnesemia familial syndrome, is a renal tubulopathy characterized by metabolic alkalosis with hypokalemia, associated with significant hypomagnesemia and decreased urinary calcium secretion. We present the clinical case an 82-year-old female with pulmonary and digestive tract morbidities, in which the hydroelectrolitic status control was difficult due to persistently negative water balances associated with metabolic alkalosis, hyponatremia, severe hypokalemia, hypomagnesemia and hypocalcemia, and decreased retention of urinary electrolytes. Therefore, the incidental diagnosis was reached made of being a carrier of Gitelman syndrome, due to the difficulty in controlling alteration of the hydroelectrolitic status.

Keywords : Gitelman syndrome.