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Case Reports
. 2013 Jul;4(3):328-30.
doi: 10.4103/0976-3147.118794.

Uncommon dyselectrolytemia complicating Guillain-Barré syndrome

Aralikatte Onkarappa Saroja  1 , Karkal Ravishankar Naik, Mallikarjun S Khanpet
Affiliations
Case Reports

Uncommon dyselectrolytemia complicating Guillain-Barré syndrome

Aralikatte Onkarappa Saroja et al. J Neurosci Rural Pract. 2013 Jul.

Abstract

Guillain-Barré syndrome (GBS) and hypokalemic paralysis are common causes of acute flaccid quadriparesis and specific therapeutic interventions differ. Simultaneous occurrence of severe hypokalemia in patients with GBS at the time of presentation can cause diagnostic and therapeutic dilemma. Presence of hypomagnesemia with hypokalemia in patients with GBS can be perplexing and pose further challenges. Evaluation for preexisting inherited or other associated metabolic disturbances is needed in the presence of such complex dyselectrolytemia. We report the rare association of GBS with severe hypokalemia and hypomagnesemia in a 41-year-old male presenting with acute flaccid quadriparesis and the therapeutic challenges faced.

Keywords: Guillain–Barré syndrome; hypokalemia; hypomagnesemia.

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Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Hughes RA, Cornblath DR. Guillain-Barré syndrome. Lancet. 2005;366:1653–66. - PubMed
    1. Pollak MR, Yu AS. Clinical disturbances of calcium, magnesium, and phosphate metabolism. In: Brenner BM, editor. Brenner and Rector's The Kidney. 7th ed. Philadelphia: Saunders; 2004. pp. 1041–76.
    1. Knoers NV, Levtchenko EN. Gitelman syndrome. Orphanet J Rare Dis. 2008;3:22. - PMC - PubMed
    1. Assadi F. Diagnosis of hypokalemia: A problem solving approach to clinical cases. Iran J Kidney Dis. 2008;2:115–22. - PubMed
    1. Lemmink HH, Knoers NV, Károlyi L, van Dijk H, Niaudet P, Antignac C, et al. Novel mutations in the thiazide-sensitive NaCl cotransporter gene in patients with Gitelman syndrome with predominant localization to the C-terminal domain. Kidney Int. 1998;54:720–30. - PubMed

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