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이온음료 과다 복용으로 촉발된 부신선종 유발 저칼륨혈성 횡문근융해증
한재호 ( Jae-ho Han ),최영훈 ( Young-hoon Choi ),정현주 ( Hyeon Ju Jeong ),윤인철 ( In-cheol Yoon ),최희진 ( Hee-jin Choi ),최혜민 ( Hye-min Choi ),오동진 ( Dong-jin Oh ) 대한내과학회 2016 대한내과학회지 Vol.90 No.6
Rhabdomyolysis results from acute damage to skeletal muscles caused by various conditions, of which hypokalemia is a recognized but rare example. Although primary aldosteronism may cause severe hypokalemia leading to rhabdomyolysis, the potassium level of such patients can be within the normal range. Hypokalemia is most frequently triggered when these patients are exposed to an additional insult, such as diuretic stress. Similarly, overzealous consumption of ionic beverages with osmotic diuretic effects can cause hypokalemia. Here, we describe a patient with an aldosterone-secreting adrenal adenoma, who presented with acute rhabdomyolysis secondary to severe hypokalemia triggered by consumption of a large volume of ionic beverage for 3 weeks. (Korean J Med 2016;90:542-544)