| Autor: |
Z, Rušavý, A, Hudec, J, Karbanová, V, Korečko, R, Janů, V, Kališ |
| Jazyk: |
čeština |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Ceska gynekologie. 77(5) |
| ISSN: |
1210-7832 |
| Popis: |
Gitelman syndrom is a rare congenital tubulopathy characterized by hypokalemia, hypomagnesemia, metabolic alkalosis and hypocalciuria. We report a case of a 32-year-old patient admitted for asymptomatic hypokalemia and hypomagnesemia in the 30th week of gestation. A diagnosis of Gitelman syndrom was made and intravenous administration of potassium chloride in high doses combined with spironolactone was started. Despite intensive potassium supplementation (8 g/day), the serum potassium levels remained at the lower limit of normality throughout the pregnancy. The patient delivered a healthy female 2670 g/48 cm after labor induction in the 39th week of gestation. A summary of 22 so far published cases of Gitelman syndrome in pregnancy is presented. The analysis of published case studies suggests a need for ion supplementation, reduction of urinary potassium wasting, monitoring of fetal well-being and amniotic fluid levels. Pregnancy has a very favorable perinatal prognosis despite critical serum levels of potassium and magnesium throughout the pregnancy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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