Cooray M Samanthi A, Bulugahapitiya Uditha S, Peiris D Natasha
Department of Diabetes and Endocrinology, Colombo South Teaching Hospital, Colombo, Sri Lanka.
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S237-9. doi: 10.4103/2230-8210.119583.
Rhabdomyolysis results from acute damage of the skeletal muscle brought on by various conditions of which hypokalemia is a recognized, but less common condition. Although primary aldosteronism may cause severe hypokalemia leading to rhabdomyolysis, the patients may have potassium levels within the normal range on routine biochemistry. In addition, hypokalemia may be triggered by initiation of diuretic therapy for control of hypertension. Here, we describe a patient with an aldosterone secreting adrenal adenoma, who presented with acute rhabdomyolysis secondary to severe hypokalemia triggered by initiation of diuretic therapy.
横纹肌溶解症是由多种情况导致的骨骼肌急性损伤引起的,其中低钾血症是一种已被认识但不太常见的情况。虽然原发性醛固酮增多症可能导致严重低钾血症进而引发横纹肌溶解症,但患者在常规生化检查中血钾水平可能在正常范围内。此外,低钾血症可能由开始使用利尿剂治疗高血压引发。在此,我们描述一名患有分泌醛固酮的肾上腺腺瘤的患者,该患者因开始使用利尿剂治疗引发严重低钾血症而出现急性横纹肌溶解症。