智歯の抜去を行ったGitelman 症候群の1例

抄録

A 48-year-old woman presented at our university hospital for her dental treatment. She had a past history of hypokalemic shock during dental treatment. We consulted the division of diabetes, metabolism,　and endocrinology of a hospital concerning her tooth extraction. Then, she was given a diagnosis of Gitelman syndrome. We performed extraction of a third molar using propitocaine hydrochloride-felypressin（Citanest-Octapressin^®） as a local anesthetic while monitoring the serum potassium level during extraction. We measured the serum potassium level preoperatively, after local anesthesia, and postoperatively. There were no complications during or after tooth extraction.