{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:42:01Z","timestamp":1783485721376,"version":"3.55.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Dehydration is a common presentation to any emergency department with symptoms ranging from lethargy, confusion, oliguria as well as those specific to the underlying cause. In this case we describe a young patient who following a short history of vomiting and abdominal pain developed carpopedal spasm and distal parasthesia on a background of Gitelman syndrome. Biochemical blood analysis showed a marked hypokalaemia, hypomagnesaemia and mild metabolic alkalosis in addition to a prolonged QTc interval of 592\u2005ms seen on ECG. Following fluid replacement and electrolyte correction his clinical symptoms resolved along with QTc normalisation. This case demonstrates a patient with a rare and interesting renal disorder who presented with typical biochemical and ECG abnormalities in addition to tetany in the presence of normal plasma calcium.<\/jats:p>","DOI":"10.1136\/bcr-2013-008926","type":"journal-article","created":{"date-parts":[[2013,4,30]],"date-time":"2013-04-30T10:40:28Z","timestamp":1367318428000},"page":"bcr2013008926","source":"Crossref","is-referenced-by-count":1,"title":["Localised normocalcaemic tetany secondary to dehydration in an individual with Gitelman syndrome"],"prefix":"10.1136","volume":"2013","author":[{"given":"Hardeep Singh","family":"Kalsi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anmar","family":"Alkhamesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,4,30]]},"reference":[{"key":"2025042707463290000_2013.apr30_1.bcr2013008926.1","first-page":"221","article-title":"A new familial disorder characterized by hypokalaemia and hypomagnesemia","volume":"2013","author":"Gitelman","year":"1966","journal-title":"Trans Assoc Am Physicians"},{"key":"2025042707463290000_2013.apr30_1.bcr2013008926.2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/1750-1172-3-22","article-title":"Review: Gitelman syndrome","volume":"2013","author":"Knoers","year":"2008","journal-title":"Orphanet J Rare Dis"},{"key":"2025042707463290000_2013.apr30_1.bcr2013008926.3","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s12020-011-9556-0","article-title":"Gitelman's syndrome: a pathophysiological and clinical update","volume":"2013","author":"Nakhoul","year":"2012","journal-title":"Endocrine"},{"key":"2025042707463290000_2013.apr30_1.bcr2013008926.4","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/00000441-200112000-00004","article-title":"Inherited primary renal tubular hypokalaemic alkalosis: a review of Gitelman and Bartter syndromes","volume":"2013","author":"Shaher","year":"2001","journal-title":"Am J Med Sci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:46:37Z","timestamp":1745765197000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,30]]},"references-count":4,"alternative-id":["10.1136\/bcr-2013-008926"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008926","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,30]]}}}