Episodic electrolyte disorders and renal failure due to a rare disease: the McKittrick-Wheelock syndrome

Clinical Kidney Journal
Sadie van EschPieter L Rensma

Abstract

We describe a patient with intermittent bouts of malaise and muscle weakness due to profound electrolyte disturbances. Colonoscopy showed a giant villous adenoma of the sigmoid. The patient was diagnosed with a McKittrick-Wheelock syndrome with pre-renal disease and electrolyte disorders due to periodic rectal fluid loss. The diagnosis was delayed by the patient's misinterpretation of the doctor's questions. In cases where the patient's history is contrary to what the data reveal, the expected culprit organ should be investigated early in the course of the disease. Extracting relevant and guiding information out of the patient's history remains an important skill.

References

Jan 1, 1990·American Journal of Nephrology·K S KamelM L Halperin
Jun 5, 2001·Annals of Internal Medicine·P S Mehler
Oct 19, 2002·Medizinische Klinik·Jochen Emrich, Christian Niemeyer
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Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Mitchell H Rosner, Justin Kirven
Jun 24, 2008·Renal Failure·Virginia WinstanleyNiamh M Martin

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