Hypokalemia is known to manifest as neurological weakness and cardiac rhythm disturbances. Severe hypokalemia can be life-threatening and needs prompt recognition and management. However, the workup for hypokalemia is equally essential to prevent future recurrences and complications. Bartter syndrome is one of the rare causes of hypokalemia, usually presenting early in childhood with growth retardation and failure to thrive. It is rare for a case to present in late adolescence. Here, we report a case who presented with recurrent hypokalemic paralysis and short stature in adolescence. We highlight the approach to hypokalemia and emphasize the need for early diagnosis to prevent potential complications.
Keywords: acute flaccid paralysis; bartter syndrome; genetic mutations; growth retardation; hypocalcemia; hypokalemia; metabolic alkalosis; renal tubular disorder.
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