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Hyperkalemia-induced Leg Paresis in Primary Adrenal Insufficiency

Gregory Mansella, Frank P. Stephan, Roland Bingisser and 1 more

Clinical Practice and Cases in Emergency Medicine · 2017

doi:10.5811/cpcem.2017.7.35165 (opens in a new tab)

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Abstract

CASE PRESENTATIONA 49-year-old man presented to our emergency department complaining of progressive muscle weakness in his legs for three days.He had no past history of significant health issues, and denied any illicit or recreational drug use.At presentation, vital signs were normal.Physical exam revealed reduced strength (3/5) in his lower extremities but no focal deficits.Laboratory studies showed severe hyperkalemia of 8.6 mmol/l (3.6-4.8 mmol/l),

Abstract licence: CC BY

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