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NDT Plus Advance Access originally published online on December 9, 2008
NDT Plus 2009 2(1):23-26; doi:10.1093/ndtplus/sfn186
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Surreptitious hyperkalaemia and its complications

Tilo Morgenstern1, Gregor Kurp1, Hasan Mahmud2, Michael Föller2, Florian Lang2 and Friedrich C. Luft3

1 Dialysezentrum Koblenz
2 Department of Physiology, University of Tübingen
3 Charité Campus Buch and HELIOS Klinikum-Berlin, Germany

Correspondence: Correspondence and offprint requests to: Friedrich C. Luft, Experimental and Clinical Research Centre, Lindenbergerweg 80, 13125 Berlin, Germany. Tel: +49-30-9406-4249; Fax: +49-30-9406-4220; E-mail: luft{at}charite.de


  Abstract

Surreptitious hyperkalaemia is not a common problem, particularly in patients not yet dialysis dependent. We encountered a patient who baffled her physicians and their consultants, who nonetheless proposed life-saving treatments and novel explanations. However, according to the maxim that common things are common and rare things are rare, we solved the problem by focusing on the accompanying anion.

Key Words: dialysis • hyperkalaemia • Munchausen syndrome • potassium citrate • surreptitious

Received for publication October 26, 2008. Accepted for publication November 3, 2008.


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