Gitelman Syndrome Information for Medical Personnel
Gitelman’s Syndrome was discovered in 1966 by Dr Hillel Gitelman. It was discovered that some patients with Bartter’s showed a different myriad of symptoms. Gitelman’s syndrome is also a renal salt wasting disorder but the defective tubule is in the thiazide-sensitive Na-Cl cotransporter in the distal convoluted tubule(DCT). Both disorders are associated with hypokalemia, renal potassium wasting, activation of the renin-angiotensin-aldosterone axis, and normal blood pressure. Unlike patients with Bartters, patients with Gitelman’s syndrome have hypomagnesemia, increased urinary magnesium, and decreased calcium excretion.
Results from Mail in Survey
One thing I have noticed in doing the surveys is that the older a person gets the more symptoms they have. A small child has very few which is probably because mom does not know what that child is truly feeling. In the teens the symptoms increase but only slightly. In the 20′s a slight increase and then in the 30′s the person has 10 or more symptoms. By the 40′s the person has most of the symptoms listed below. This could be because the person has had it longer so they are more aware of their symptoms or it could be that as we age the symptoms will increase.