Hypokalemic rhabdomyolyisis in congenital tubular disorders: a case series and a systematic review

von Vigier, RO; Ortisi, MT; La Manna, A; Bianchetti, MG; Bettinelli, A (2010). Hypokalemic rhabdomyolyisis in congenital tubular disorders: a case series and a systematic review. Pediatric nephrology, 25(5), pp. 861-6. Berlin: Springer 10.1007/s00467-009-1388-2

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Hypokalemia is a recognized cause of rhabdomyolysis but very few reports document its association with inborn renal tubular disorders. We report our experience with hypokalemic rhabdomyolysis in 5 pediatric patients affected by inborn renal tubular disorders and the results of a careful review of the literature disclosing 9 further cases for a total of 14 patients (8 male and 6 female subjects, aged between 1.6 and 46, median 16 years). The inborn renal tubular disorders underlying rhabdomyolysis were classic distal renal tubular acidosis (n = 7), Gitelman syndrome (n = 5), classic Bartter syndrome (n = 1), and antenatal Bartter syndrome (n = 1). In 8 patients rhabdomyolysis followed an acute intestinal disease, an upper respiratory illness or the discontinuation of regular medication. Five patients experienced two or more episodes of rhabdomyolysis. In 10 patients the underlying renal tubular disorder was recognized concurrently with the episode of rhabdomyolysis or some weeks later. In conclusion some congenital renal tubular disorders predispose to hypokalemic rhabdomyolysis. Prevention of discontinuation of regular medication and electrolyte repair in the context of acute intercurrent illnesses might avoid the development of hypokalemic rhabdomyolysis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

von Vigier, Rodo and Bianchetti, Mario Giovanni

ISSN:

0931-041X

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:07

Last Modified:

17 Mar 2015 19:07

Publisher DOI:

10.1007/s00467-009-1388-2

PubMed ID:

20033223

Web of Science ID:

000275658400009

URI:

https://boris.unibe.ch/id/eprint/293 (FactScience: 197406)

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