Hypokaliemic rhabdomyolysis associated with liquorice ingestion: Report of an atypical case

Italian Journal of Neurological Sciences

Volumn 18, Issue 4, 1997, Pages 217-220

  Barrella, M ^a   Lauria, G ^a   Quatrale, R ^a   Paolino, E ^a  

^a UNIVERSITY OF FERRARA   (Italy)

Author keywords

Hypokaliemia; Liquorice; Myoglobinuria; Rhabdomyolysis

Indexed keywords

ADULT; ARTICLE; CASE REPORT; FOOD INTAKE; GLYCYRRHIZA; HUMAN; HYPERTENSION; HYPOKALEMIA; MALE; PATHOGENESIS; RHABDOMYOLYSIS; RISK FACTOR;

ARM; GLYCYRRHIZA; HUMANS; HYPOKALEMIA; MALE; MIDDLE AGED; MUSCLE, SKELETAL; PLANTS, MEDICINAL; RHABDOMYOLYSIS;

EID: 0030929091     PISSN: 03920461     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02080467     Document Type: Article

References (19)

1. BASSER LS. Purgative and periodic paralysis. Med J Aust, 1979; 1: 47-49.
2. CARADONNA P, GENTILONI N, SERVIDEI S, PERRONE GA, GRECO AV, RUSSO MA. Acute myopathy associated with chronic licorice ingestion: reversible loss of myoadenylate deaminase activity. Ultrastruct-Pathol, 1992; 16 (5): 529-35.
3. COMI G, TESTA D, CORNELIO F, et al. Potassium depletion myopathy: a clinical and morphological study of six cases. Muscle Nerve, 1985; 8: 17.
4. DEMOS MA, GITLIN EL, KAGAN LG: Exercise myoglobinuria and acute exertional rhabdomyolysis. Arch Intern Med, 1974; 134: 669.
5. HALLER RG, DRACHMAN DB. Alcoholic rhabdomyolysis: an experimental model in the rat. Science, 1980, 208: 412.
6. KNOCKEL JP, SCHLEIN EM. On the mechanism of rhabdomyolysis in potassium depletion. J Clin Invest, 1972; 51: 1750-8.
7. LE BLANC J, LABRIE A. Glycogen and nonspecific adaptation to cold. J Appl Physiol, 1981; 51: 1428-32.
8. LUCHON L, MEYRIER A, PAILLARD F. Hypokaliemia without arterial hypertension by licorice poisoning. Nephrologie, 1993, 14 (4): 177-81.
9. MARTIN JB. CRAIG JW, ECKEL RE, MURGER J. Hypokaliemic myopathy in chronic alcoholism. Neurology, 1971; 21: 1160.
10. MAXWELL JH, BLOOR CM. Effects of conditioning on exertional rhabdomyolysis and serum creatinekinase after severe exercise. Enzyme, 1981; 26: 177-81.
11. MEGIA A, HERRANZ L, MARTIN ALMENDRA MA, MARTINEZ I. Angiotensin I converting enzyme levels and reninaldosterone axis recovery after cessation of chronic licorice ingestion (letter). Nephron, 1993, 65 (2): 329-30.
12. MINVIELLE J, CRISTOL P, BADACH I. L'abuse de reglisse (glycyrryzine). Expression clinique: paralysies avec hypokaliémie (deux observations), hypertension arteriélle (25 observations). Discussion physiopathogique. Presse Médicale, 1963, 43: 2021.
13. MOLHUYSEN J, GERBRANDY J, DE VRIES LA, DE JONG J et al. A liquorice extract with doxvcortone like action. Lancet, 1950; 1: 381.
14. RAIFFMAN MA, BERANT M, LENARSKY M. Cold weather and rhabdomyolysis. J Pediatr, 1978; 93: 970-71.
15. STEWART PM, EDWARDS CR: The cortisol-cortisone shuttle and hypertension. J Steroid Biochem Mol Biol, 1991, 40 (4-6): 501-9.
16. STORMER FC, REISTAD R, ALEXANDER J. Glycyrrhizic acid in liquorice. Evaluation of health hazard. Food-Chem-Toxicol, 1993; 31 (4): 303-12.
17. TEIN I, DI MAURO S, ROWLAND LP: Myopathies. In: P.J. Vinken, G.W. Bruyn, H.L. Klawans Eds.: Handbook of Clinical Neurology, Elsevier, 1992; 18 (62): 553-93.
18. WHORWOOD CB, SHEPPARD MC, STEWART PM. Licorice inhibits 11 beta hydroxysteroid dehydrogenase messenger ribonucleic acid level and potentiates glucocorticoid hormone action. Endocrinology, 1993, 132 (6): 2287-92.
19. ZIERZ S. Carnitine palmitoiltransferase deficency. In: A.J. Engel and C. Franzini-Amstrong (Eds.) Myology. McGraw-Hill, 1994; 2, 60: 1577-86.