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Acta Obstétrica e Ginecológica Portuguesa
Print version ISSN 1646-5830
Abstract
OLIVEIRA, Iolanda; SILVA, Rui and PIRES, Carlos. “Simbiosis” between Gitelman and Pregnancy: a challenge. Acta Obstet Ginecol Port [online]. 2022, vol.16, n.1, pp.48-51. Epub Mar 31, 2022. ISSN 1646-5830.
Gitelman's syndrome is characterized by a mutation of SLC12A3 gene, which encodes the NaCl cotransporter of distal convoluted tubule resulting in hypokalaemia. During pregnancy its approach and treatment become a challenge. We report the case of a pregnant woman, with a history of previous abortions, who needed a tight analytical control with several hospital admissions throughout pregnancy and more agressive and controled oral and intravenous therapy, which allowed to preserve a good fetal development and normal delivery without complications. This disease in pregnant women has a good prognosis, although it imposes the need of a tight multidisciplinar follow-up.
Keywords : Gitelman’s Syndrome; Pregnancy; Hypokalaemia; Prognosis.