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Case Report: Unusual electrolyte changes in primary hyperparathyroidism-a call to suspect underlying Gitelman
Dasili Wickramasinghe Aruna Shantha1, Sasmitha Ravindu Waidyatilleke1, Kanishka Piumi Senevirathne1
1Department of Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Frontiers in Endocrinology
|July 6, 2026
Summary
Persistent hypokalemia, hypomagnesemia, and hypocalciuria in primary hyperparathyroidism (PHPT) suggest concurrent Gitelman syndrome. This case highlights the importance of considering renal tubulopathies in complex PHPT cases.
Area of Science:
- Endocrinology
- Nephrology
- Internal Medicine
Background:
- Primary hyperparathyroidism (PHPT) typically presents with hypercalcemia, hypophosphatemia, and hypercalciuria.
- Hypokalemia and hypomagnesemia are rare in PHPT, suggesting a complex etiology.
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