Gitelman-like syndrome after cisplatin therapy: a case report and literature review.

Abstract:

BACKGROUND:Cisplatin is a well-known nephrotoxic antineoplastic drug. Chronic hypokalemic metabolic alkalosis with hypomagnesemia and hypocalciuria is one of the rare complications associated with its use. CASE PRESENTATION:A 42-year-old woman presented with a 20 year-history of hypokalemic metabolic alkalosis with hypomagnesemia and hypocalciuria after cisplatin-based chemotherapy for ovarian cancer. This patient has had chronic muscle aches and fatigue and has had episodic seizure-like activity and periodic paralysis. Only thirteen other patients with similar electrolyte abnormalities have been described in the literature. This case has the longest follow-up. CONCLUSION:Cisplatin can cause permanent nephrotoxicity, including Gitelman-like syndrome. This drug should be considered among the possible causes of chronic unexplained electrolyte disorders.

journal_name

BMC Nephrol

journal_title

BMC nephrology

authors

Panichpisal K,Angulo-Pernett F,Selhi S,Nugent KM

doi

10.1186/1471-2369-7-10

subject

Has Abstract

pub_date

2006-05-24 00:00:00

pages

10

issn

1471-2369

pii

1471-2369-7-10

journal_volume

7

pub_type

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