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Gitelman Syndrome in Pregnancy: A Clinical Challenge

Zeitschrift fur Geburtshilfe und Neonatologie · Aralık 2021

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YÖKSİS Kayıtları
Gitelman Syndrome in Pregnancy: A Clinical Challenge
Zeitschrift für Geburtshilfe und Neonatologie · 2021 SCI-Expanded
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Makale Bilgileri

DergiZeitschrift fur Geburtshilfe und Neonatologie
Yayın TarihiAralık 2021
Cilt / Sayfa225 · 526-528
DOI10.1055/a-1498-2940
Scopus ID2-s2.0-85108183868
Özet Purpose Disease progress may be affected by pregnancy-related changes, and underlying conditions may also affekt pregnancy outcomes in women with Gitelman syndrome (GS). Case presentation A 35-year-old woman with GS (gravida 2 para 1) was referred to our hospital to start routine antenatal care follow-up at 6 weeks of gestation. At the age of 31, she had been diagnosed with GS after her first uneventful pregnancy. Upon early admission, her serum Mg+level was 0.51 mmol/L and her serum K+level 2.7 mmol/L with normal kidney function tests. She was already taking oral combined potassium citrate and potassium bicarbonate supplementation once a day before pregnancy. At the eighth gestational week, the medication was changed to an oral potassium color sachet of 1.5 gram per day until labor because of the insufficient dosage to maintain optimum potassium levels. She was also taking 365 milligrams of oral magnesium oxide twice a day before and during pregnancy. In the third trimester of the pregnancy, her serum Mg+level was 0.48 mmol/L and serum K+level 2.8 mmol/L. Because of the previous uterine surgery history, she underwent an elective cesarean operation at 39 weeks' gestation under spinal anesthesia and delivered a healthy 3090-gram female infant. Conclusion Increased need for potassium and magnesium supplementation should be the critical considerations when managing pregnant patients with GS.

Yazarlar (6)

1
Seval Yılmaz Ergani
ORCID: 0000-0002-7017-8854
2
Gökçen Örgül
ORCID: 0000-0003-0578-4230
3
Harun Egemen Tolunay
4
Mustafa Arici
5
Aykan Yücel
6
Dilek Uygur

Anahtar Kelimeler

Gitelman syndrome potassium pregnancy

Kurumlar

Ankara City Hospital
Cankaya Turkey
Hacettepe Üniversitesi
Ankara Turkey
Perinatology Keçiören
Ankara Turkey

Metrikler

2
Atıf
6
Yazar
3
Anahtar Kelime

Sistemimizdeki Yazarlar

GÖ
GÖKÇEN ÖRGÜL
PROFESÖR

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