ECE2018 Poster Presentations: Adrenal and Neuroendocrine Tumours Clinical case reports - Pituitary/Adrenal (21 abstracts)
Rhabdomyolysis in a case with severe hypokalemia and Primary Hyperaldosteronism
Blertina dyrmishi 1 , Taulant Olldashi 1 , Majlinda Cani 1 , Holta Sulaj 1 , Entela Puca 2 & Ema Lumi 3
1Hygeia Hospital Tirana Albania, Tirane, Albania; 2UHC “Mother Teresa”, Tirane, Albania; 3Regional Hospital Korca, Korce, Albania.
Case Report: A 47 years old female was admitted to our hospital with muscle pain, weakness of the lower extremities, faligue, muscular cramps, nausea, anorexia and elevation of blood preasure. The muscular pain started 20 days ago and got worse over the last few days, she also had difficulty walking during these time. She denied fever, trauma history, vomiting, diarrhea and diuretic or statins use in the last days. The laboratory examinaition on admission showed severely low potassium values (1.4 mEq/L) and elevated values of creatine kinase, lactate dehydrogenase, troponin, myoglobin and aldosteron. Blood Gas Analysis revealed metabolic alkalosis.The patient had been under treatment for high blood pressure for more than six years, with ARBs and calcium channel blockers. Based on clinical, laboratory and imaging studies we suspected the diagnosis of of primary hyperaldosteronism associated with rhabdomyolysis due to severe hypokalemia as a cause was done. Treatment with I.V and oral hydration, Sol KCl and spironolactone was started. Our patient was wrongly diagnosed with essential high blood preassure. After admission to our hospital, we evaluated nad treated the patient, also prevented a potential acute renal failue from rhabdomyolysis and life-threatening arryhmias, and the diagnosis of Primary Hyperaldosteronism was made.
Keywords: Rhabdomyolysis, hypokalemia, CK, primary hyperaldosteronism.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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