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Gitelman's syndrome: Rare presentation with growth retardation
1Department of Pediatrics, Gajraraja Medical College and Kamla Raja Hospital, Gwalior, Madhya Pradesh, India.
Gitelman syndrome, a genetic kidney disorder, typically appears in adolescence. This case highlights a rare, early-onset presentation in a four-year-old boy with significant growth retardation.
Area of Science:
- Nephrology
- Genetics
- Pediatrics
Background:
- Gitelman syndrome is an autosomal recessive kidney disorder.
- It is caused by mutations in the SLC12A3 gene, affecting the sodium-chloride co-transporter in the distal convoluted tubule.
- Commonly presents in adolescence or adulthood without hypertension.
Observation:
- A four-year-old boy presented with growth retardation.
- Clinical and biochemical findings were consistent with Gitelman syndrome.
Findings:
- This case represents a rare, early-onset manifestation of Gitelman syndrome.
- Growth retardation was a prominent feature, atypical for this condition.
Implications:
- Highlights the importance of considering Gitelman syndrome in pediatric patients with unexplained growth failure.
- Suggests potential genotype-phenotype variations influencing disease presentation and severity.
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