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- W2984324437 abstract "Background: Profound hypokalemia, accompanied by rhabdomyolysis, often makes rapid and accurate differential diagnosis challenging. Methods: We used the potassium-to-creatinine ratio in freshly voided urine to differentiate the etiology of hypokalemia. Results: A 27-year-old man with a 5-year history of hypertension presented with an initial biochemistry indicating marked hypokalemia (1.8 mmol/L) and metabolic alkalosis with low urinary potassium excretion. The patient did not have a history of abusing alcohol or diuretics. Persistent hypokalemia (3.0 mmol/L) continued despite aggressive potassium supplementation. Hyperaldosteronism was confirmed, and computed tomography revealed a 2.4-cmdiameter mass over the left adrenal gland. After undergoing laparoscopic left adrenalectomy, the patient's condition improved without further medication. Discussion: It is feasible to use the potassium-to-creatinine ratio in freshly voided urine for the differential diagnosis of hypokalemia. However, this case highlights that the initial kaliuretic effect of aldosterone may be restricted in severe hypokalemia." @default.
- W2984324437 created "2019-11-22" @default.
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- W2984324437 date "2015-06-01" @default.
- W2984324437 modified "2023-09-24" @default.
- W2984324437 title "Severe Hypokalemia and Rhabdomyolysis Associated with Conn's Syndrome: Clinical Approach to Aldosterone-Related Kaliuresis" @default.
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