Rodman J S, Reidenberg M M
JAMA. 1981 Oct 9;246(15):1687-9.
We report five cases of symptomatic hypokalemia caused by surreptitious diuretic ingestion. A positive diagnosis was made in four patients by a colorimetric detection of the diuretic in urine by simple chemical means. Patients who surreptitiously ingest diuretics appear to be mainly women, among whom there appears to be high prevalence of diagnoses involving the reproductive system. Many of these patients have health-related occupations. They seem to be very concerned with appearing obese or edematous. A high urine potassium level in the presence of a low serum potassium level can suggest this diagnosis.
我们报告了5例因隐匿性摄入利尿剂导致的症状性低钾血症病例。通过简单化学方法比色检测尿液中的利尿剂，4例患者得到了明确诊断。隐匿性摄入利尿剂的患者似乎主要是女性，其中涉及生殖系统诊断的患病率似乎较高。这些患者中有许多从事与健康相关的职业。他们似乎非常在意显得肥胖或水肿。低钾血症伴高尿钾水平可提示该诊断。
