Case Report: A Hidden Cause for Electrolyte Derangement in the ED: Gitelman Syndrome

Abstract

We present the case of a 32-year-old patient with a known history of Gitelman syndrome who presented with hypokalemia and hypomagnesemia. The patient was treated with supplemental potassium, magnesium and intravenous fluids in the ED. The patient required hospital admission for further electrolyte correction. An awaremess of Gitelman syndrome is important for the emergency physician. Some patients have a known history of Gitelman Syndrome. In such cases, it is imperative to be aware of what electrolyte abnormalities to expect. Some new diagnoses of GS can be made in patients presenting with hypotension, or myalgias along with hypokalemia and hypomagnesemia.