Evidence map›Paper›PMID 30696651›Full record

ArticleBMJ case reports2019

Hypocalcaemia and hyponatraemia masquerading the diagnosis of Gitelman syndrome.

Bhargav Gopinath, Nupur Chauhan, Basavaprabhu Achappa

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Bhargav GopinathMedicine, Kasturba Medical College Mangalore Affiliated to Manipal Academy of Higher Education, Mangalore, Karnataka, India.
Nupur ChauhanMedicine, Kasturba Medical College Mangalore Affiliated to Manipal Academy of Higher Education, Mangalore, Karnataka, India.
Basavaprabhu AchappaMedicine, Kasturba Medical College Mangalore Affiliated to Manipal Academy of Higher Education, Mangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gitelman syndrome is the most common renal tubulopathy, recently exhibiting a dramatic rise of incidence in Asia.A 50-year-old woman presented with vomiting, fatigue and quadriparesis. Physical examination revealed a positive Trousseau sign , hypotonia and areflexia.Suspecting hypocalcaemia, she was given intravenous 10% calcium gluconate (10 mL administered slowly over 10 min) but her manifestations persisted. An exhaustive laboratory work up revealed the diagnosis of Gitelman syndrome.The peculiarity of this case however, is entailed in its coexistence with hypocalcaemia and hyponatraemia. In addition, the age of primary presentation being 50 years further culminates its atypicality.Multiple electrolyte imbalances were corrected by oral and intravenous supplementation and a high sodium-potassium diet was advocated. Administration of spironolactone imposed a pitfall in the management of our patient due to exacerbation of pre-existing hyponatraemia.On follow-up, her electrolyte profile was stable and corresponding symptoms were alleviated.

Indexed as

Aspartic AcidCalcium GluconateDiagnosis, DifferentialFemaleGitelman SyndromeHumansHypocalcemiaHyponatremiaMiddle AgedPotassium ChloridePotassium, DietarySaline SolutionAspartic AcidCalcium GluconatePotassium ChloridePotassium, DietarySaline Solutionmetabolic disorders dyselectrolytemiarenal system

Identifiers

PMID30696651
PMCPMC6350722

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.