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...

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Main Authors: Hassene Attout, Andry Randriajohany, Françoise Josse, Vincent Appavoupoule, Yoga Thirapathi
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-03-01
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.
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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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AT francoisejosse tetraparesiswithmajorhypokalaemiaandrhabdomyolysisinducedbychronicliquoriceingestion
AT vincentappavoupoule tetraparesiswithmajorhypokalaemiaandrhabdomyolysisinducedbychronicliquoriceingestion
AT yogathirapathi tetraparesiswithmajorhypokalaemiaandrhabdomyolysisinducedbychronicliquoriceingestion