PRESENTATION OF GITELMAN SYNDROME WITH HYPOCALCAEMIC TETANY: A RARE ENTITY

Abstract

This a rare case report of a 49 year old lady diagnosed with “Gitelman Syndrome with Hypocalcaemic tetany”. The lady, a known hypertensive, presented with complaints of bilateral jaw pain for four days; associated with tingling and numbness of skin around the mouth accompanied with generalised weakness. There was a history of recurrence of similar episodes in the past and a strange habit of excessive salt craving. On examination, Chvostek's sign and Trousseau's signs were positive. Blood tests showed low potassium and magnesium, and calcium which were corrected conservatively. Urine analysis of electrolytes showed low calcium with high potassium and magnesium. Subsequently, a diagnosis of Gitelman Syndrome with Hypokalaemic periodic paralysis was made.