Pistor K, Heemann K, Olbing H
Monatsschr Kinderheilkd. 1987 Jun;135(6):340-2.
Hypokalemia with hyperkaliuresis was diagnosed in a 10 1/4-year-old boy, who presented with spontaneously disappearing abdominal pain. The diagnosis of Gitelman-Syndrome (asymptomatic chronic hypokalemia and -magnesemia) was established after detection of hypomagnesemia, renal magnesium losing but normal renin-angiotensin-aldosterone system and glomerular filtration rate. After oral supplementation of potassium hypokalemia persisted and hyperkaliuresis increased. The substitution was discontinued, the hyperkaliuresis diminished and the child remained asymptomatic during a 24 months follow-up. The substitution of potassium and magnesium can be avoided in children with Gitelman-Syndrome as long as they remain asymptomatic.
一名10岁3个月大的男孩被诊断为低钾血症伴高钾尿症，他曾出现过自发缓解的腹痛。在检测到低镁血症、肾脏排镁但肾素-血管紧张素-醛固酮系统和肾小球滤过率正常后，确诊为吉特曼综合征（无症状性慢性低钾血症和低镁血症）。口服补充钾后，低钾血症持续存在且高钾尿症加重。停止补充后，高钾尿症减轻，在24个月的随访期间，该儿童一直无症状。只要无症状，吉特曼综合征患儿可避免补充钾和镁。
