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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.

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.

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