Venkatachalam Sibiya 1 , Ravi Kumar Barua 2 , Karuppanan Yuvaraja
PRESENTATION OF CASE A 22 years old G2 P1 D1 came with complaints of shivering of both upper limb and lower limb. She was diagnosed with Gitelman syndrome in previous pregnancy. Previous was a preterm delivery due to polyhydramnios and the baby died at 12 days of life due to some congenital malformation of heart. In previous pregnancy, patient presented with paralysis at 6 months of gestation and was treated conservatively by correcting the electrolytes level. In the present pregnancy, patient had persistent hypokalaemia and hypomagnesaemia, which was treated. Anomaly scan was done. No gross anomaly was detected. Patient is symptomatically better and she is continuing her pregnancy, hope better outcome since GS has no adverse effect on pregnancy. DIFFERENTIAL DIAGNOSES ??? Bartter syndrome (especially type III). ??? Pseudo-Bartter/Gitelman syndrome. CLINICAL DIAGNOSIS Patient was diagnosed with Gitelman syndrome in previous pregnancy. Gitelman was diagnosed by hypokalaemia (1.4 mEq), hypomagnesaemia (1.1 mg/dL), hypocalciuria and metabolic alkalosis (blood pH - 7.52) and was treated conservatively. Patient had persistent hypokalaemia around 2.6 mEq and hypomagnesaemia with serum magnesium of about 1.4 mg/dL, blood ph-7.51 in the present pregnancy. Nephrologist opinion was sought and the patient was managed conservatively by correcting the electrolytes level.
