Table 2.
Subject | Urine | Thiazide Test; FE Cl,a 2.3%–4.9% | DDAVP Test | Furosemide Test; ΔFE Cl,a 8%–15% | Genetic Analysis CLDN10 Gene | |||||
---|---|---|---|---|---|---|---|---|---|---|
24-h Ca Excretion, mM | Ca/Creatinine, mM/mM | 24 h Mg Excretion, mM | Mg/Creatinine, mM/mM | ΔUrine Osmolality, mosmol/kg | Maximum Urine Osmolality, >800 mosmol/kg | Nucleotide Change | Consequence | |||
Patient 1 | ||||||||||
II:2 | 0.6–1.4 | |||||||||
II:2 | < | < | 2.0 | 0.21 | 12.9 | 34/39 | 546/603 | 26.0 | c.446C>G, c.465–1G>T | p.Pro149Arg, p.Glu157-Tyr192del |
Family members | ||||||||||
II:3 | 0.43 | 0.46 | 294 | 825 | c.446C>G | p.Pro149Arg | ||||
II:4 | 0.58 | 0.32 | 136 | 1179 | c.446C>G | p.Pro149Arg | ||||
III:1 | 0.21 | 0.23 | c.446C>G | p.Pro149Arg | ||||||
III:2 | 0.28 | 0.32 | 210 | 1048 | c.465–1G>T | p.Glu157-T yr192del | ||||
Patient 2 | ||||||||||
II.2 | < | < | ||||||||
II.2 | 0.03 | 0.26 | 5.6 | c.446C>G, c.217G>A | p.Pro149Arg, p.Asp73Asn | |||||
Family members | ||||||||||
I:1 | 0.15 | 0.23 | c.446C>G | p.Pro149Arg | ||||||
I:2 | 0.05 | 0.28 | c.217G>A | p.Asp73Asn | ||||||
II:1 | 0.21 | 0.27 | None | |||||||
II:3 | 0.06 | 0.61 | c.446C>G | p.Pro149Arg |
Individual subject numbers correspond with Figure 1. DDAVP was the synthetic arganine vasopressin analog. Ca, calcium; Mg, magnesium; FE, fractional excretion; Cl, chloride; <, below detection limit (urine calcium <0.1 mmol/L).
Maximum change of FE Cl as the main outcome measure in thiazide and furosemide responsiveness testing, with a ΔFE Cl <2.3% in thiazide responsiveness testing suggested to be abnormal and suggestive of GS.