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KMID : 0882420160900060542
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Korean Journal of Medicine
2016 Volume.90 No. 6 p.542 ~ p.544
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Consumption of an Excessive Amount of Ionic Beverage Can Trigger Adrenal Adenoma - Induced Severe Hypokalemic Rhabdomyolysis
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Han Jae-Ho
Choi Young-Hoon
Jeong Hyeon-Ju
Yoon In-Cheol
Choi Hee-Jin
Choi Hye-Min
Oh Dong-Jin
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Abstract
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Rhabdomyolysis results from acute damage to skeletal muscles caused by various conditions, of which hypokalemia is a recognized but rare example. Although primary aldosteronism may cause severe hypokalemia leading to rhabdomyolysis, the potassium level of such patients can be within the normal range. Hypokalemia is most frequently triggered when these patients are exposed to an additional insult, such as diuretic stress. Similarly, overzealous consumption of ionic beverages with osmotic diuretic effects can cause hypokalemia. Here, we describe a patient with an aldosterone-secreting adrenal adenoma, who presented with acute rhabdomyolysis secondary to severe hypokalemia triggered by consumption of a large volume of ionic beverage for 3 weeks.
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KEYWORD
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Rhabdomyolysis, Diuresis, Hypokalemia, Adrenocortical adenoma
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