Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion
Chronic ingestion of liquorice induces a syndrome with findings similar to those for primary hyperaldosteronism. This is characterized by hypokalaemia, hypertension, metabolic alkalosis and suppression of the renin-aldosterone system. We describe a 30-year-old woman who, with a plasma potassium lev...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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SMC MEDIA SRL
2020-03-01
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Series: | European Journal of Case Reports in Internal Medicine |
Subjects: | |
Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/1375 |
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author | Hassene Attout Andry Randriajohany Françoise Josse Vincent Appavoupoule Yoga Thirapathi |
author_facet | Hassene Attout Andry Randriajohany Françoise Josse Vincent Appavoupoule Yoga Thirapathi |
author_sort | Hassene Attout |
collection | DOAJ |
description | Chronic ingestion of liquorice induces a syndrome with findings similar to those for primary hyperaldosteronism. This is characterized by hypokalaemia, hypertension, metabolic alkalosis and suppression of the renin-aldosterone system.
We describe a 30-year-old woman who, with a plasma potassium level of 1.5 mmol/l, presented with tetraparesis and severe rhabdomyolysis (CK up to 35,460 U/l). She admitted to a daily consumption of nearly 300 g of liquorice sweets during the previous 6 months. This case emphasizes the importance of a detailed anamnesis, which is essential for diagnosis, avoids unnecessary and expensive investigations and reduces the duration of hospitalization. |
first_indexed | 2024-12-11T08:56:54Z |
format | Article |
id | doaj.art-09a38198dbc34168a79c75287941d45a |
institution | Directory Open Access Journal |
issn | 2284-2594 |
language | English |
last_indexed | 2024-12-11T08:56:54Z |
publishDate | 2020-03-01 |
publisher | SMC MEDIA SRL |
record_format | Article |
series | European Journal of Case Reports in Internal Medicine |
spelling | doaj.art-09a38198dbc34168a79c75287941d45a2022-12-22T01:13:51ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-03-0110.12890/2020_0013751044Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice IngestionHassene Attout0Andry Randriajohany1Françoise Josse2Vincent Appavoupoule3Yoga Thirapathi4Internal Medicine Unit, General Hospital, Ales, FranceInternal Medicine Unit, GHER, Saint-Benoit, RéunionInternal Medicine Unit, GHER, Saint-Benoit, RéunionInternal Medicine Unit, GHER, Saint-Benoit, RéunionInternal Medicine Unit, GHER, Saint-Benoit, RéunionChronic ingestion of liquorice induces a syndrome with findings similar to those for primary hyperaldosteronism. This is characterized by hypokalaemia, hypertension, metabolic alkalosis and suppression of the renin-aldosterone system. We describe a 30-year-old woman who, with a plasma potassium level of 1.5 mmol/l, presented with tetraparesis and severe rhabdomyolysis (CK up to 35,460 U/l). She admitted to a daily consumption of nearly 300 g of liquorice sweets during the previous 6 months. This case emphasizes the importance of a detailed anamnesis, which is essential for diagnosis, avoids unnecessary and expensive investigations and reduces the duration of hospitalization.https://www.ejcrim.com/index.php/EJCRIM/article/view/1375hypokalaemiarhabdomyolysisliquorice abuse |
spellingShingle | Hassene Attout Andry Randriajohany Françoise Josse Vincent Appavoupoule Yoga Thirapathi Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion European Journal of Case Reports in Internal Medicine hypokalaemia rhabdomyolysis liquorice abuse |
title | Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion |
title_full | Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion |
title_fullStr | Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion |
title_full_unstemmed | Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion |
title_short | Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion |
title_sort | tetraparesis with major hypokalaemia and rhabdomyolysis induced by chronic liquorice ingestion |
topic | hypokalaemia rhabdomyolysis liquorice abuse |
url | https://www.ejcrim.com/index.php/EJCRIM/article/view/1375 |
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