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자료유형
학술저널
저자정보
김예림 (Department of Internal Medicine Keimyung University School of Medicine Kidney Institute Daegu Ko) 강성식 (계명대학교) Woo Yeong Park (Department of Internal Medicine Keimyung University School of Medicine Daegu Korea) 진규복 (계명대학교동산의료원) Dae Kwang Kim (Keimyung University) 한승엽 (Department of Internal MedicineKeimyung University School of MedicineKorea)
저널정보
전해질고혈압연구회 Electrolytes & Blood Pressure Electrolytes & Blood Pressure Vol.14 No.1
발행연도
2016.1
수록면
16 - 19 (4page)

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A 42-year-old man came to the hospital presenting chest discomfort and general weakness. He had come to the hospital with the same symptoms 3 months ago and 12 years prior. His laboratory test showed hypokalemia, hypomagnesemia and hypocalciuria. The arterial blood gas analysis showed hypochloremic metabolic alkalosis. He had an ultrasonography guided renal biopsy, the result was normal at light microscopy and immunofluorescence microscopy. However, a special stain for Na-Cl cotransporter was weakly expressed compared with the control. The patient and his family underwent genetic sequencing about the SLC12A3 gene. He had a homozygous mutation in the 179th nucleotide of Exon 1 on the SLC12A3 gene (p.Thr60Met) and his parents and sisters were diagnosed as carrier state of Gitelman’s syndrome (GS). GS is an inherited tubular disorder which presents mild hypokalemia, hypomagnesemia and hypocalciuria. Since the symptoms and laboratory results are not severe, it can go unnoticed by physicians. Herein we present a family with GS, diagnosed by genetic sequencing.

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