The atypical form of Gitelman syndrome with cerebral calcifications
https://doi.org/10.21508/1027-4065-2018-63-1-90-95
Abstract
The clinical and genetic features of the rare, atypical form of the autosomalrecessive Gitelman syndrome with manifestation atschool age are presented. The disease manifestsin child with the hypomagnesemia, hypermagnesium, hypomagnesic limbs convulsions, metabolic alkalosis, hypokalemia, hypocalcemia, hypoparathyroidism associated with the cerebral bilateral calcifications in the frontal lobes, basal ganglia, cerebellum, and decreased intelligence. The diagnosis is confirmed by recognition of the homozygous mutation in gene SLC12А3.
About the Authors
J. G. LeviashviliRussian Federation
N. D. Savenkova
Russian Federation
V. I. Guzeva
Russian Federation
I. V. Anichkova
Russian Federation
E. N. Suspitsin
Russian Federation
References
1. OMIM: An online catalog of human genes and genetic disorders [Electronic resource]. Electronic data. Baltimore: Johns Hopkins Univ., 2015; Mode of access: http://www.omim.org/
2. Savenkova N.D., Papayan A.V., Leviashvili Zh.G. Tubulopathy in the practice of a pediatrician. Manual for Physicians. N.D. Savenkova, A.V. Papayan (eds). SPb: Levsha 2006;144 (in Russ)
3. Yureva E.A., Veltischev Yu.E., Ignatova M.S. Tubulopathy. In: Pediatric nephrology. A guide for doctors. M.S. Ignatova (ed.). Moscow: Med. inform. agentstvo, 2011; 358–389. (in Russ)
4. Genetic diseases of the kidney. R.P. Lifton, S. Somlo, G.H. Giebisch (eds). Amsterdam, London: Elsevier: Acad. Press, 2009; 848.
5. Emmett M.,Sterns R.H, Forman J.P. Bartter and Gitelman syndromes [Electronic resource]. UpToDate. Electronic data, 2015; mode of access: http://www.uptodate.com/contents/ bartter-and-gitelman syndromes
6. Gil-Peña H., Mejia N., Alvarez-Garcia O., Loredo V., Santos F. Longitudinal growth in chronic hypokalemic disorders. Pediatr Nephrol 2010; 25(4): 733–737. DOI: org/10.1007/ s00467-009-1330-7
7. Leviashvili Zh.G., Savenkova N.D., Levicheva O.V., Snezhkova E.A. Follow-up of children with Bartter syndrome and Gitelman. Nefrologiya 2013; 17 (3):80–87. (in Russ)
8. Devuyst O., Belge H., Konrad M., Jeunemaitre X., Zennaro M.C. Renal tubular disorders of electrolyte regulation in children. Gitelman syndrome. In: Pediatric Nephrology. E.D. Avner (ed.). Springer-Verlag, Berlin, Heidelberg, 2016; 1215–1221. DOI: 10.1007/978-3-662-43596-0_34 1201
9. Das S.K., Ghosh A., Banerjee N., Khaskil S. Gitelman’s syndrome presenting with hypocalcemia, basal ganglia calcification and periodic paralysis. Singapore Med J 2012; 53: e222–e224.
10. Peters M., Jeck N., Reinalter S., Leonhardt A., Tönshoff B., Klaus G. et al. Clinical presentation of genetically defined patients with hypokalemic salt-losing tubulopathies. Amer J Med 2002; 112(3): 183–190.
11. Viering D.H.H.M., de Baaij J.H.F., Walsh S.B., Kleta R., Bockenhauer D. Genetic causes of hypomagnesemia, a clinical overview. Pediatr Nephrol 2017; 32(7): 1123–1135. DOI: 10.1007/s00467-016-3416-3
12. Beltagi A.El., Norbash A., Vattoth S.Novel brain MRI abnormalities in Gitelman syndrome. Neuroradiol J 2015; 28(5): 523-528.DOI: 10.1177/1971400915609340
13. Koulouridis E., Koulouridis I. Molecular pathophysiology of Bartter’s and Gitelman’s syndromes. World J Pediatr 2015; 11(2): 113–125. DOI: 10.1007/s12519-015-0016-4
14. Sardani Y., Qin K., Haas M., Aronson A.J., Rosenfield R.L.. Bartter syndrome complicated by immune complex nephropathy: case report and literature review. Pediatr Nephrol 2003; 18(9): 913–918.
15. Seyberth H.W., Schlingmann K.P. Bartter and Gitelman-like syndromes: salt-losing tubulopathies with loop or DCT defects. Pediatr Nephrol 2011; 26(10): 1789–1802. DOI: 10.1007/s00467-011-1871-4
16. Simon D. B., Nelson-Williams C., Bia M. J., Ellison D., Karet F.E., Molina A.M. et al. Gitelman’s variant of Bartter’s syndrome, inherited hypokalaemic alkalosis, is caused by mutations in the thiazide-sensitive Na-Cl cotransporter. Nature Genet 1996; 12(1): 24–30. DOI: 10.1038/ng0196-24
17. Monnens L., Bindels R., Grünfeld J.P. Gitelman syndrome comes of age. Nephrol Dial Transplant1998; 13(7): 1617–1619.
18. Devarajan, P., Langman C.B. Pediatric Bartter syndrome [Electronic resource]. Medscape 2011; mode of access: http://www.emedicine.com/ped/TOPIC210.HTM
19. Riveira-Munoz E., Chang Q., Godefroid N., Hoenderop J.G., Bindels R.J., Dahan K. et al. Transcriptional and functional analyses of SLC12A3 mutations: new clues for the pathogenesis of Gitelman syndrome. J Amer Soc Nephrol 2007; 18(4): 1271–1283. DOI: 10.1681/ASN.2006101095
20. Tsutsui H., Hamano T., Kawaura Y.,Inaba S., Miyamori I.,YasujimaM, et al. Case of Gitelman syndrome associated with idiopathic intracranial hypertension. Intern Med 2011; 50: 1493–1496. DOI: 10.2169/internalmedicine.50.5305.
21. Quinlan C.S., Walsh J.C., Moran A.M., Moran C., O’Rourke S.K. Gitelman syndrome. A rare presentation mimicking cauda equina syndrome. J Bone Joint Surg Br 2011; 93: 266–268. DOI: 10.1302/0301-620X.93B2.25700
22. Gandi K., Prasad D., Malhotra V., Agrawal D. Gitelman’s syndrome presenting with hypocalcemic tetany and hypokalemic periodic paralysis, case report. India Saudi J Kidney Dis Transpl 2016; 27(5): 1026–1028.
23. Gierth M., Banas B., Burger M. Metabolic alkalosis. In: Urology at a glance.A.S. Merseburger, M.A. Kuczyk, J.W. Moul (eds). Heidelberg, New York, Dordrecht, London: Springer, 2014; 77–80.
24. Vargas-Poussou R., Dahan K., Kahila D., Venisse A., Riveira-Munoz E., Debaix H. et al. Spectrum of Mutations in Gitel-man Syndrome. J Am SocNephrol 2011; 22(4): 693–703. DOI: 10.1681/ASN.2010090907
25. Ignatova M.S., Dlin V.V. Role of genetic sinthe development of pediatric nephrology. Rossiyskiy vestnik perinatologii i pediatrii 2015; 60(3): 6–9. (in Russ)
26. Nikolaeva E.A. Importance of the achievements of medical genetics for solving the problem of developmental disorders in children. Rossiyskiy vestnik perinatologii i pediatrii 2016; 61(2): 5–11. DOI:10.21508/1027-4065-2016-61-2-5-11. (in Russ)
Review
For citations:
Leviashvili J.G., Savenkova N.D., Guzeva V.I., Anichkova I.V., Suspitsin E.N. The atypical form of Gitelman syndrome with cerebral calcifications. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2018;63(1):90-95. (In Russ.) https://doi.org/10.21508/1027-4065-2018-63-1-90-95