체중감량 목적으로 장기간 이뇨제를 복용한 비만한 환자에서 발견된 Gitelman 증후군 1예

Abstract

Gitelman’s syndrome is a primary renal tubular disorder characterized by chronic hypokalemia, hypomagnesemia, metabolic alkalosis of renal origin, hypocalciuria with normocalcemia, hyperreninemic hyperaldosteronism, increased excretion of urinary prostaglandins and hyperplasia of juxtaglomerular pparatuson renal pathology. It is a rather benign condition not uncommonly detected in asymptomatic adults because of unexplained hypokalemia. This condition has been frequently mistaken for chronic dichlozid use. We have experienced a case of Gitelman’s syndrome in a 41-year old woman taking diuretics for the purpose of weight reduction.