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  • Title: Primary aldosteronism presenting as myoglobinuric acute renal failure.
    Author: Dominic JA, Koch M, Guthrie GP, Galla JH.
    Journal: Arch Intern Med; 1978 Sep; 138(9):1433-4. PubMed ID: 686940.
    Abstract:
    Hypokalemia is an uncommon cause of rhabdomyolysis with acute tubular necrosis. We recently treated a patient in whom severe hypokalemia attributed to diuretic therapy antedated acute myoglobinuric renal failure by six months. After recovery, hypokalemia persisted and subsequent evaluation disclosed primary aldosteronism. This case is a unique presentation for primary aldosteronism and illustrates the importance of diagnosis before treatment in hypertension as well as the hazards of hypokalemia.
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