Hyperkalaemia in acute leukaemia: A sign of adrenocortical insufficiency

Journal of Internal Medicine

Volumn 242, Issue 2, 1997, Pages 111-115

  Demiroǧlu, Holûok ^a,b   Dundar S ^a  

^a HACETTEPE UNIVERSITY   (Turkey)

^b Yukart Ayranci   (Turkey)

Author keywords

Acute leukemia; Adrenal cortex; Hyperkalemia

Indexed keywords

HYDROCORTISONE; POTASSIUM ION; STEROID; TETRACOSACTIDE;

ACUTE GRANULOCYTIC LEUKEMIA; ACUTE LYMPHOCYTIC LEUKEMIA; ADRENAL CORTEX INSUFFICIENCY; ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL FEATURE; CONTROLLED STUDY; CORTICOTROPIN TEST; FEMALE; HUMAN; HYDROCORTISONE RELEASE; HYPERKALEMIA; MALE; POTASSIUM BLOOD LEVEL; PRIORITY JOURNAL;

EID: 0030811578     PISSN: 09546820     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2796.1997.00154.x     Document Type: Article

References (22)

1. O'Regan S, Carson S, Chesney RW, Drummond KM. Electrolyte and acid-base disturbances in the management of leukemia. Blood 1977; 49: 345-53.
2. Longo D. Hypokalemia in acute leukemia. Blood 1977; 50: 749.
3. Leonov Y, Golik A, Kaufman S, Gilboa Y. Acute tumour lysis syndrome with extreme metabolic abnormalities. Clin Lab Haematol 1987; 9: 85-9.
4. Wibe K, Kvaloy S, Nome O, Abrahamsen AF, Bjorgo S. Tumor lysis syndrome. A life-threatening complication during cytostatic treatment of chemosensitive types of cancer. Tidsskr Nor Laegeforen 1991; 111: 2435-7.
5. Razis E, Arlin ZA, Ahmed T, Feldman EJ, Puccio C, Cook P et al. Incidence and treatment of tumor lysis syndrome in patients with acute leukemia. Acta Haematol 1994; 91: 171-4.
6. Roth GJ, Porte D Jr. Chronic lactic acidosis and acute leukemia. Arch Intern Med 1970; 125: 317-21.
7. Warner RA, Wiernik PH, Thompson WL. Metabolic and therapeutic studies of a patient with acute leukemia and severe lactic acidosis of prolonged duration. Am J Med 1973; 55: 255-60.
8. Madias NE. Lactic acidosis. Kidney Int 1986; 29: 752-74.
9. Bellevue R, Dosik H, Spergel G, Gussoff BD. Pseudohyperkalemia and extreme leukocytosis. J Lab Clin Med 1975; 85: 660-4.
10. Ifudu O, Markell MS, Friedman EA. Unrecognized pseudohyperkalemia as a cause of elevated potassium in patients with renal disease. Am J Nephrol 1992; 12: 102-4.
11. Seidenwurm DJ, Elmer EB, Kaplan LM, Williams EK, Morris DG, Huffman AR. Metastases to the adrenal glands and the development of Addison's disease. Cancer 1984; 54: 552-7.
12. Massry SG, Glassock RJ. Fluid and electrolyte disturbances and urinary tract obstruction. In: Massry SG, Glassock RJ eds. Textbook of Nephrology. Baltimore, USA: Williams & Wilkins, 1983: 981-4.
13. Kedar A, Grow W, Neiberger RE. Clinical versus laboratory tumor lysis syndrome in children with acute leukemia. Pediatr Hematol Oncol 1995; 12: 129-34.
14. Gennari FJ, Cohen JJ. Role of the kidney in potassium homeostasis: lessons from acid-base disturbances. Kidney Int 1975; 8: 1-5.
15. Redman BG, Pazdur R, Zingas AP, Loredo R. Prospective evaluation of adrenal insufficiency in patients with adrenal metastasis. Cancer 1987; 60: 103-7.
16. Xarli VP, Steele AA, Davis PJ. Adrenal hemorhage in the adult. Medicine 1978; 57: 211-21.
17. Del Negro G, Melo EHL, Rodbard D, Melo MR, Layton J. Limited adrenal reserve in paracoccidiomycosis: cortisol and aldosterone responses to 1-24 ACTH. Clin Endocrinol 1980; 13: 553-9.
18. Osa SR, Peterson RE, Roberts AB. Recovery of adrenal reserve following treatment of disseminated South American blastomycosis. Am J Med 1981; 71: 298-301.
19. Kushner I, Gewurz H, Benson MD. C-reactive protein and the acute-phase response. J Lab Clin Med 1981; 97: 739-49.
20. Burke CW. Adrenocortical insufficiency. Clin Endocrinol Metab 1985; 14: 947-76.
21. Cedermark BJ, Sjöberg HE. The clinical significance of metastases to the adrenal glands. Surg Gynecol Obstet 1981; 152: 607-10.
22. Orth DN, Kovacs WJ, DeBold CR. The adrenal Cortex. In: Wilson JD, Foster DW eds. Textbook of Endocrinology. Philadelphia. USA: WB Saunders, 1992: 489-620.