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一名患有吉特曼综合征的孕妇出现了HELLP综合征。

HELLP syndrome in a pregnant patient with Gitelman syndrome.

作者信息

Lee Minhyeok, Kim Dong-Il, Lee Kyung-Ho, Byun Jun-Hyun, Hwang Jiyong, Hwang Won-Min, Yun Sung-Ro, Yoon Se-Hee

机构信息

Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.

出版信息

Kidney Res Clin Pract. 2017 Mar;36(1):95-99. doi: 10.23876/j.krcp.2017.36.1.95. Epub 2017 Mar 31.

DOI:10.23876/j.krcp.2017.36.1.95
PMID:28393002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5331980/
Abstract

Gitelman syndrome is characterized by hypokalemia, metabolic alkalosis, hypocalciuria, and hypomagnesemia. The clinical course of Gitelman syndrome in pregnant women remains unclear, but it is thought to be benign. We report here the first Korean case of atypical eclampsia in a 31-year-old who was diagnosed with Gitelman syndrome incidentally during an antenatal screening test. The patient did well during pregnancy despite significant hypokalemia. At 33 weeks' gestation, the patient exhibited eclampsia, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and renal insufficiency without significant hypertension or proteinuria. We explain this unusual clinical course through a review of the relevant literature.

摘要

吉特林综合征的特征为低钾血症、代谢性碱中毒、低钙尿症和低镁血症。孕妇吉特林综合征的临床病程尚不清楚，但一般认为是良性的。我们在此报告首例韩国籍31岁非典型子痫病例，该患者在产前筛查时意外被诊断为吉特林综合征。尽管存在严重低钾血症，但患者孕期情况良好。妊娠33周时，患者出现子痫、溶血、肝酶升高、血小板减少（HELLP）综合征及肾功能不全，无明显高血压或蛋白尿。我们通过回顾相关文献来解释这一不寻常的临床病程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/e94cb10d5f88/krcp-36-095f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/3d97448f255a/krcp-36-095f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/0fe92512e428/krcp-36-095f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/e94cb10d5f88/krcp-36-095f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/3d97448f255a/krcp-36-095f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/0fe92512e428/krcp-36-095f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e457/5331980/e94cb10d5f88/krcp-36-095f3.jpg

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引用本文的文献

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Case Rep Perinat Med. 2022 Dec 19;12(1):20210075. doi: 10.1515/crpm-2021-0075. eCollection 2023 Jan.
2
Do Case Reports and Case Series Generate Clinical Discoveries About Preeclampsia? A Systematic Review.病例报告和病例系列研究能否产生关于子痫前期的临床发现？一项系统综述。
Int J Womens Health. 2023 Mar 21;15:411-425. doi: 10.2147/IJWH.S397680. eCollection 2023.
3
Early onset children's Gitelman syndrome with severe hypokalaemia: a case report.

本文引用的文献

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Gitelman syndrome during pregnancy: a therapeutic challenge.妊娠期间的 Gitelman 综合征：治疗挑战。
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Normal plasma total magnesium in Gitelman syndrome.吉特曼综合征患者的正常血浆总镁水平。
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