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 CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 5  |  Page : 382-384

Head drop and flaccid weakness in infantile nephrotic syndrome


Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
G S Dhooria
Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijn.IJN_198_16

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Dropped head syndrome (DHS) is a relatively rare condition, with a broad differential diagnosis. We report here a case of infantile nephrotic syndrome with DHS caused by severe hypokalemia. Electrocardiogram showed flat T- and U-waves. Multiple factors including recurrent diarrhea, prolonged diuretic and corticosteroid use, hypomagnesemia, poor intake, and malnutrition caused hypokalemia in the case. Head drop and flaccid weakness resolved completely after potassium and magnesium supplementation. Potassium levels should be monitored and corrected promptly in these settings.






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Indian Journal of Nephrology
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Online since 20th Sept '07