A case of nephrotic syndrome with Gitelman's syndrome

J Assoc Physicians India. 2010 May:58:324-5.

Abstract

Nephrotic syndrome, though common in children, association of it with Gitelman's syndrome (GS) is a rare occurrence. Very few cases have been reported in the medical literature so far. Here we report a case of nephrotic syndrome with frequent relapses and remissions on intermittent steroid and diuretic therapy. Patient was restarted on steroids and frusemide. Puffiness of face, bipedal edema and oliguria improved but patient developed tingling numbness in both limbs, perioral numbness and carpopedal spasm. On investigation she was found to have proteinuria, metabolic alkalosis, hypokalemia, hypocalcemia, hypomagnesemia and hyperreninemia with normal blood pressure.

Publication types

  • Case Reports

MeSH terms

  • Alkalosis / complications
  • Alkalosis / drug therapy
  • Drug Therapy
  • Female
  • Gitelman Syndrome / complications*
  • Gitelman Syndrome / drug therapy
  • Humans
  • Hypocalcemia / complications
  • Hypocalcemia / drug therapy
  • Hypokalemia / complications
  • Hypokalemia / drug therapy
  • Magnesium / blood
  • Nephrotic Syndrome / complications*
  • Nephrotic Syndrome / drug therapy
  • Proteinuria / complications*
  • Proteinuria / drug therapy
  • Renin / blood
  • Syndrome
  • Tetany / complications
  • Treatment Outcome
  • Young Adult

Substances

  • Renin
  • Magnesium