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  • Title: [Hypokalemic myopathy. Our experience at an intensive care unit].
    Author: Albertario F, Ceriana P, Scelsi R, Geraci P, Azan G, Dionigi RV, Mapelli A.
    Journal: Minerva Anestesiol; 1992; 58(1-2):19-25. PubMed ID: 1589061.
    Abstract:
    Disturbances of potassium homeostasis are frequently iatrogenic: some drugs, especially diuretics, are sometimes taken without proper electrolyte control and replacement; this can lead to more or less severe hypokalemic states. After some physiopathologic remarks, the Authors report their experience with four patients admitted for severe hypokalemia; the clinical picture was always quite typical: severe muscle weakness (even quadriparesis), cardiac rhythm abnormalities, metabolic alkalosis. A reliable diagnostic tool is muscle biopsy that shows aspects of vacuolar myopathy.
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