1例青春期妊娠患者的恶心、呕吐、肌无力

• 作 者: Srinivas S.K. Sukhan S. Elovitz M.A. 张旸
• 机 构: Department of Obstetrics and Gynecology Hospital of the University of Pennsylvania 3400 Spruce Stre
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2006年10期
• 关键词: 青春期妊娠 肌无力 下肢近端肌 成年早期 健康新生儿 补充剂 妊娠剧吐 低血镁 美国女性 综合征

BACKGROUND: Gitelman syndrome is a rare autosomal recessive disorder that presents in early adulthood with fatigue, muscle cramps and electrolyte abnormalities. CASE: A 17-year-old African-American woman presented at 17 weeks of pregnancywith nausea, emesis, profound lower extremity proximal muscle weakness, hypokalemia, and hypomagnesemia. After a thorough evaluation, Gitelman syndrome was diagnosed. The patient was maintained on high levels of potassium and magnesium supplementation throughout the rest of her pregnancy and delivered a healthy infant. CONCLUSION: In pregnancy, nausea and emesis is most commonly attributed to hyperemesis gravidarum. However, an atypical presentation of these symptoms and/or the coexistence of less common complaints warrant further investigation.

BACKGROUND: Gitelman syndrome is a rare autosomal recessive disorder that presents in early adulthood with fatigue, muscle cramps and electrolyte abnormalities. CASE: A 17-year-old African-American woman presented at 17 weeks of pregnancy with nausea, emesis, profound lower extremity The patient was maintained on high levels of potassium and magnesium supplementation throughout the rest of her pregnancy and delivered a healthy infant. CONCLUSION: In pregnancy, nausea and emesis However, an atypical presentation of these symptoms and / or the coexistence of less common complaint warrant further investigation.