Psikiyatri Kliniğinde Tanı Konulan Anoreksiya Nervoza Görünümlü Gitelman Sendromu

2020; 31(1): 69-73
[PDF]    [Makaleyi Göster]    [Özet]    [Yazara Mail]
A Case of Gitelman Syndrome Diagnosed with Anorexia Nervosa in a Psychiatry Clinic

Anorexia nervosa is a disorder that is characterized by excessive
preoccupation with body weight and shape, and conscious attempts to
stay in low weight due to fear of weight gain. Vomiting, one of the
methods used by anorexia nervosa patients to stay in low weight, is one
of the most important causes of hypokalemia. Diuretics and diarrhea are
other common causes of hypokalemia. If hypokalemia is chronic and
resistant to treatment, eating disorders and other metabolic conditions
should be investigated. One of the rare causes of hypokalemia, an
electrolyte imbalance that can cause fatal outcomes, is Gitelman
syndrome. Gitelman Syndrome is a genetically inherited disease of
the distal tubules which causes hypokalemia, metabolic alkalosis,
hypocalcemia, hypomagnesemia and vomiting. It is a syndrome
usually diagnosed during adolescence, however it sometimes remains
asymptomatic throughout life. Severe symptoms such as tetanus,
rhabdomyolysis, and paralysis can also be seen. A case of Gitelman
syndrome which was diagnosed as anorexia nervosa due to physical
appearance of the patient, low body mass index (BMI), and frequent
vomiting and in which the other medical pathologies have not been
adequately investigated is presented in this article. Assessments to
exclude the medical conditions that may be associated with symptoms
are necessary before a diagnosis of a psychiatric disorder is made.
Key Words: Anorexia nervosa, hypokalemia, Gitelman syndrome