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小剂量甘草诱发的严重低钾血症伴麻痹

Severe hypokalaemia with paralysis induced by small doses of liquorice.

作者信息

Cumming A M, Boddy K, Brown J J, Fraser R, Lever A F, Padfield P L, Robertson J I

出版信息

Postgrad Med J. 1980 Jul;56(657):526-9. doi: 10.1136/pgmj.56.657.526.

DOI:10.1136/pgmj.56.657.526
PMID:7443613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2425815/
Abstract

A patient, who presented with a flaccid quadriplegia due to profound hypokalaemia, is described. Hypokalaemia and myoglobinuria were caused by the ingestion of small amounts of liquorice contained in a laxative preparation. Subsequent controlled administration of small amounts of this preparation induced marked hypokalaemia. This was associated with sodium retention and potassium loss confirming a mineralocorticoid-like action. The sodium retention was associated with suppression of plasma levels of renin and aldosterone.

摘要

本文描述了一名因严重低钾血症而出现弛缓性四肢瘫痪的患者。低钾血症和肌红蛋白尿是由服用一种缓泻制剂中含有的少量甘草引起的。随后对该制剂进行小剂量的控制性给药诱发了明显的低钾血症。这与钠潴留和钾丢失相关,证实了类似盐皮质激素的作用。钠潴留与血浆肾素和醛固酮水平的抑制有关。

相似文献

1
Severe hypokalaemia with paralysis induced by small doses of liquorice.小剂量甘草诱发的严重低钾血症伴麻痹
Postgrad Med J. 1980 Jul;56(657):526-9. doi: 10.1136/pgmj.56.657.526.
2
Hypokalaemia, flaccid quadruparesis, and myoglobinuria with carbenoxolone (biogastrone).低血钾、弛缓性四肢瘫以及服用生胃酮(胃溃宁)后的肌红蛋白尿。
Br Med J. 1966 Jun 25;1(5503):1581-2. doi: 10.1136/bmj.1.5503.1581.
3
Severe reduction of serum potassium induced by liquorice.甘草导致血清钾严重降低。
Nurs Times. 1976 Mar 11;72(10):367-70.
4
Liquorice, Liddle, Bartter or Gitelman-how to differentiate?甘草、利德尔、巴特或吉特尔曼综合征——如何鉴别?
Nephrol Dial Transplant. 2019 Jan 1;34(1):38-39. doi: 10.1093/ndt/gfy199.
5
Liquorice-induced hypertension--a new understanding of an old disease: case report and brief review.甘草诱导的高血压——对一种旧疾病的新认识:病例报告及简要综述
Neth J Med. 1995 Nov;47(5):230-4. doi: 10.1016/0300-2977(95)00015-5.
6
Pseudohyperaldosteronism from liquorice-containing laxatives.含甘草的泻药所致假性醛固酮增多症。
J Endocrinol Invest. 1990 Nov;13(10):847-8. doi: 10.1007/BF03349639.
7
[L-carnitine chloride and potassium chloride in the treatment of a case of non-traumatic rhabdomyolysis without myoglobinuria caused by the ingestion of liquorice].
Minerva Med. 1985 Apr 7;76(14-15):725-8.
8
Hypokalemic myopathy with myoglobinuria associated with licorice ingestion.与摄入甘草相关的低钾性肌病伴肌红蛋白尿。
N Engl J Med. 1966 Mar 17;274(11):602-6. doi: 10.1056/NEJM196603172741104.
9
Life-threatening hypokalaemia caused by liquorice ingestion.因摄入甘草引起的危及生命的低钾血症。
Lancet. 1984 Jun 9;1(8389):1305. doi: 10.1016/s0140-6736(84)92495-4.
10
Effect of eating liquorice on the renin-angiotensin aldosterone axis in normal subjects.食用甘草对正常受试者肾素-血管紧张素-醛固酮轴的影响。
Br Med J. 1977 Feb 19;1(6059):488-90. doi: 10.1136/bmj.1.6059.488.

引用本文的文献

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Liquorice Toxicity: A Comprehensive Narrative Review.甘草毒性:全面叙述性综述。
Nutrients. 2023 Sep 5;15(18):3866. doi: 10.3390/nu15183866.
2
Adverse effects of unconventional therapies in the elderly: A systematic review of the recent literature.老年人非传统疗法的不良反应:近期文献的系统综述
J Am Aging Assoc. 2002 Jan;25(1):11-20. doi: 10.1007/s11357-002-0002-3.
3
Hypokalaemic paralysis.低钾性麻痹
Postgrad Med J. 1999 Apr;75(882):193-7. doi: 10.1136/pgmj.75.882.193.
4
Primary aldosteronism.原发性醛固酮增多症
J Endocrinol Invest. 1995 Jul-Aug;18(7):495-511. doi: 10.1007/BF03349761.
5
Anorexia nervosa, liquorice and hypokalaemic myopathy.神经性厌食症、甘草与低钾血症性肌病。
Postgrad Med J. 1981 Sep;57(671):577-9. doi: 10.1136/pgmj.57.671.577.
6
Severe hypokalaemia from kaolin and morphine abuse.因滥用高岭土和吗啡导致严重低钾血症。
Postgrad Med J. 1987 Jul;63(741):589-90. doi: 10.1136/pgmj.63.741.589.
7
OTC medicines--are they 'open to criticism'?非处方药——它们“容易受到批评”吗?
Postgrad Med J. 1987 Jul;63(741):519-20. doi: 10.1136/pgmj.63.741.519.
8
Diuretic therapy and exercise performance.利尿疗法与运动表现。
Sports Med. 1987 Jul-Aug;4(4):290-304. doi: 10.2165/00007256-198704040-00005.

本文引用的文献

1
Body Composition: Studies in the Human Being by the Dilution Principle.身体成分:基于稀释原理的人体研究。
Science. 1952 Apr 25;115(2991):447-54. doi: 10.1126/science.115.2991.447.
2
Estimation of total body sodium by isotopic dilution. II. Studies on infants and children: an example of a constant differential growth ratio.用同位素稀释法估算全身钠含量。II. 对婴幼儿的研究:恒定差异生长率的一个实例。
J Clin Invest. 1951 Jun;30(6):566-74. doi: 10.1172/JCI102473.
3
A liquorice extract with deoxycortone-like action.一种具有脱氧皮质酮样作用的甘草提取物。
Lancet. 1950 Sep 23;2(6630):381-6. doi: 10.1016/s0140-6736(50)91341-9.
4
Inhibition of the "mineralocorticoid" activity of licorice by spironolactone.螺内酯对甘草“盐皮质激素”活性的抑制作用。
J Clin Endocrinol Metab. 1962 Nov;22:1156-9. doi: 10.1210/jcem-22-11-1156.
5
Preparation of glycyrrhizinic acid, the electrolyte-active principle of licorice: its effects upon metabolism and upon pituitary-adrenal function in man.甘草的电解质活性成分甘草次酸的制备:其对人体新陈代谢及垂体 - 肾上腺功能的影响。
J Lab Clin Med. 1956 Jan;47(1):20-8.
6
The measurement of exchangeable sodium in man using the isotope 24Na.利用同位素24Na测定人体中的可交换钠。
Clin Sci. 1953 May;12(2):97-111.
7
Hypokalaemia, flaccid quadruparesis, and myoglobinuria with carbenoxolone (biogastrone).低血钾、弛缓性四肢瘫以及服用生胃酮(胃溃宁)后的肌红蛋白尿。
Br Med J. 1966 Jun 25;1(5503):1581-2. doi: 10.1136/bmj.1.5503.1581.
8
Hypokalemic myopathy with myoglobinuria associated with licorice ingestion.与摄入甘草相关的低钾性肌病伴肌红蛋白尿。
N Engl J Med. 1966 Mar 17;274(11):602-6. doi: 10.1056/NEJM196603172741104.
9
Muscle paresis and hypokalemia after treatment with duogastrone.使用双层片治疗后出现肌肉轻瘫和低钾血症。
Br Med J. 1969 Jun 14;2(5658):674. doi: 10.1136/bmj.2.5658.674.
10
Licorice-induced pseudoaldosteronism. Hypertension, hypokalemia, aldosteronopenia, and suppressed plasma renin activity.
JAMA. 1968 Aug 12;205(7):492-6. doi: 10.1001/jama.205.7.492.