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KMID : 1102220170360010095
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Kidney Research and Clinical Practice
2017 Volume.36 No. 1 p.95 ~ p.99
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HELLP syndrome in a pregnant patient with Gitelman syndrome
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Lee Min-Hyeok
Kim Dong-Il
Lee Kyung-Ho
Byun Jun-Hyun
Hwang Ji-Yong
Hwang Won-Min
Yun Sung-Ro
Yoon Se-Hee
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Abstract
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Gitelman syndrome is characterized by hypokalemia, metabolic alkalosis, hypocalciuria, and hypomagnesemia. The clinical course of Gitelman syndrome in pregnant women remains unclear, but it is thought to be benign. We report here the first Korean case of atypical eclampsia in a 31-year-old who was diagnosed with Gitelman syndrome incidentally during an antenatal screening test. The patient did well during pregnancy despite significant hypokalemia. At 33 weeks’ gestation, the patient exhibited eclampsia, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and renal insufficiency without significant hypertension or proteinuria. We explain this unusual clinical course through a review of the relevant literature.
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KEYWORD
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Eclampsia, Gitelman syndrome, HELLP syndrome, Pregnancy
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