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. 2021 Oct 22;22(21):11414. doi: 10.3390/ijms222111414

Table 2.

Clinical entities that mimic Gitelman syndrome.

Gitelman-Like Diseases Clinical Similarities to Gitelman Clinical Differences to Gitelman References
Abuse of thiazide diuretics Hypochloremic metabolic alkalosis
Hyperaldostheronism
Hypokalemia
Hypomagnesemia
The symptoms will be ruled out after the withdrawal.
Hyperchloruric response as indicative parameter
[3,96,97]
ADTKD-HNF1-β Hypomagnesemia
Hypokalaemia
Hyperparathiroidism
Young adult presentation (but not mandatory at this ages)
Dominant inheritance pattern
Extrarenal manifestations: MODY type 3
Renal cysts
[98,99,100]
Cystic fibrosis Hypochloremic metabolic alkalosis
Hypokalemia
Hypochloremia
Levels of chloride in response to treatment
Similarities are present with hot weather
[101,102]
Autoinmune diseases; SLE 1, Sjögren syndrome, autoimmune thyroiditis Muscular weakness
Hypokalemia
Hypomagenesemia
Hypocalciuria
Cramping
Presence of auto-antibodies against NCC 2 [103,104]
Congenital Chloride
Diarrhea
Hyponatremia
Hypochloremia
Low chloride in urine but high in stool
Watery stool, similar to urine
[105,106,107]

1 SLE: Systemic Lupus Erythematosus; 2 NCC: Solute carrier family 12 member 3.