Barta Zsolt, Miltenyi Zsofia, Toth Laszlo, Illes Arpad
3rd Department of Medicine, Medical and Health Science Centre, University of Debrecen, Debrecen, Hungary.
World J Gastroenterol. 2005 Apr 7;11(13):2039-40. doi: 10.3748/wjg.v11.i13.2039.
The case of a 22-year-old patient with symptomatic hypokalemia caused by rhabdomyolysis is presented as a rarely reported complication of gluten-sensitive enteropathy (GSE) and dermatitis herpetiformis Duhring. The patient's myopathy ceased on potassium supplementation and her other complaints resolved while on gluten-free diet. Recovery was otherwise uneventful with a rapid decline in serum CPK level. At the time of her last follow-up a few months later, she was free of symptoms and CPK remained stable. Patients with GSE may present with hypokalemia in association with diarrhea and emesis, and if potassium loss is rapid, rhabdomyolysis may occur.
本文报告了一例22岁患者,因横纹肌溶解症导致症状性低钾血症,这是麸质敏感性肠病(GSE)和疱疹样皮炎罕见的并发症。患者补充钾后肌病症状消失,采用无麸质饮食后其他症状也得到缓解。血清肌酸磷酸激酶(CPK)水平迅速下降,恢复过程顺利。几个月后的最后一次随访时,她无症状,CPK保持稳定。GSE患者可能会因腹泻和呕吐出现低钾血症,如果钾流失迅速,可能会发生横纹肌溶解症。