Hypokalemic myopathy in a patient with gluten-sensitive enteropathy and dermatitis herpetiformis Duhring: a case report.
The case of a 22-year-old patient with symptomatic hypokalemia caused by rhabdomyolysis is presented as a rarely reported complication of gluten-sensitive enteropathy (GSE) and dermatitis herpetiformis Duhring. The patient's myopathy ceased on potassium supplementation and her other complaints resolved while on gluten-free diet. Recovery was otherwise uneventful with a rapid decline in serum CPK level. At the time of her last follow-up a few months later, she was free of symptoms and CPK remained stable. Patients with GSE may present with hypokalemia in association with diarrhea and emesis, and if potassium loss is rapid, rhabdomyolysis may occur.
Barta
Zsolt
Z
3rd Department of Medicine, Medical and Health Science Centre, University of Debrecen, Debrecen, Hungary. barta@iiibel.dote.hu
Miltenyi
Zsofia
Z
Toth
Laszlo
L
Illes
Arpad
A
D000328:Adult; D002446:Celiac Disease / Q000150:complications* / Q000473:pathology; D003874:Dermatitis Herpetiformis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D009135:Muscular Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D011188:Potassium / Q000008:administration & dosage
D011188:Potassium