Primary aldosteronism presenting as myoglobinuric acute renal failure.
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.
D058186:Acute Kidney Injury / Q000150:complications / Q000209:etiology*; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications / Q000175:diagnosis*; D007008:Hypokalemia / Q000150:complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009212:Myoglobinuria / Q000150:complications / Q000209:etiology*