Spurious hyperkalaemia associated with severe thrombocytosis and leukocytosis.
A patient with marked thrombocytosis and leukocytosis associated with myelofibrosis was found to have spurious hyperkalaemia caused by in vitro cell lysis. Initial failure to recognize the cause of the hyperkalaemia led to an inappropriate and potentially harmful intervention in an effort to optimize the patient's preoperative status.
Department of Anaesthesia, McMaster University School of Medicine, Hamilton, Ontario, Canada.
A M
AM
Ho
J C
JC
Woo
J G
JG
Kelton
L
L
Chiu
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology*; D007964:Leukocytosis / Q000150:complications*; D013922:Thrombocytosis / Q000150:complications*