An unusual cause of hypokalemic paralysis: chronic licorice ingestion.
@article{Lin2003AnUC, title={An unusual cause of hypokalemic paralysis: chronic licorice ingestion.}, author={Shih-Hua Lin and Sung Sen Yang and Tom Chau and Mitchell L. Halperin}, journal={The American journal of the medical sciences}, year={2003}, volume={325 3}, pages={ 153-6 } }
Long-term licorice ingestion is a well-known cause of secondary hypertension and hypokalemia. Nevertheless, its initial presentation with a very severe degree of hypokalemia and paralysis is exceedingly rare. We report an elderly Asian man who presented to the emergency department with marked muscle weakness that progressed to paralysis. His blood pressure was 160/96 mm Hg. The major biochemical abnormalities were hypokalemia (plasma K+ concentration, 1.8 mmol/L) and metabolic alkalosis (HCO…
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