【摘要】 Gitelman综合征是一种少见病,临床表现多样,容易漏诊及误诊。中南大学湘雅医院儿科收治了1例长期低钾血症的女性患儿,临床表现为间断双下肢肌肉痛,存在体格发育落后;实验室检查发现重度低钾血症、代谢性碱中毒;基因检测发现SLC12A3基因突变,确诊为Gitelman综合征。临床上对慢性低钾血症合并代谢性碱中毒患儿需完善基因检查,以明确诊断及推进该疾病的研究,基因治疗有望成为该疾病的特效治疗方案。更多还原

【Abstract】 Gitelman syndrome is a rare disease. It is easy to be misdiagnosed and missed diagnosis due to the diverse clinical symptoms. A girl with long-term hypokalemia, who presented with intermittent pain of lower limb muscle and physical retardation, was treated in Xiangya Hospital, Central South University. Laboratory examination confirmed the severe hypokalemia and metabolic alkalosis. Gene sequencing indicated SLC12 A3 gene mutation and the patient was finally diagnosed as Gitelman syndrome. Patients with chronic hypokalemia and metabolic alkalosis need to conduct gene sequencing to confirm the diagnosis. Gene therapy is expected to be the most effective treatment for this disease.更多还原