A case of rhabdomyolysis induced by the approved daily dose of a traditional Chinese medicine

Japanese Journal of Nephrology

Volumn 50, Issue 2, 2008, Pages 135-139

  Toyohara, Takafumi ^a   Tanemoto, Masayuki ^a   Uruno, Akira ^a   Abe, Michiaki ^a   Abe, Takaaki ^a   Ito, Sadayoshi ^a  

^a TOHOKU UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

Hypokalemia; Licorice; Pseudohyperaldosteronism; Renal tubules; Rhabdomyolysis

Indexed keywords

ALDOSTERONE; CREATINE KINASE; GLYCYRRHIZA EXTRACT; POTASSIUM; RENIN; SPIRONOLACTONE;

AGED; ARTICLE; CASE REPORT; CHINESE MEDICINE; CREATINE KINASE BLOOD LEVEL; DIARRHEA; FATIGUE; FEMALE; GLYCYRRHIZA; HUMAN; HYDRATION; HYPERALDOSTERONISM; HYPERTENSION; HYPOKALEMIA; HYPOKALEMIC RHABDOMYOLYSIS; KIDNEY TUBULE; PERIODIC PARALYSIS; PLASMA RENIN ACTIVITY; POTASSIUM BLOOD LEVEL; PSEUDOHYPERALDOSTERONISM; VOMITING;

AGED; BIOLOGICAL MARKERS; DRUGS, CHINESE HERBAL; FEMALE; GLYCYRRHIZA; HUMANS; HYPERALDOSTERONISM; HYPOKALEMIA; KIDNEY TUBULES; POTASSIUM; RHABDOMYOLYSIS;

EID: 42649087739     PISSN: 03852385     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. Edwards CR. Lessons from licorice. N Engl J Med 1991 ; 24 : 1242-1243.
2. Knochel JP. Exertional rhabdomyolysis. N Engl J Med 1972 ; 287 : 927-929.
3. Prat G, Petragnani R, Diatta B, Dufau JP, Theobald X. Hypokalemia causing rhabdomyolysis and precordialgia. Intensive Care Med 2001 ; 27 : 1096.
4. Elinav E, Chajek-Shaul T. Licorice consumption causing severe hypokalemic paralysis. Mayo Clin Proc 2003 ; 78 : 767-768.
5. van den Bosch AE, van der Klooster JM, Zuidgeest DMH, Ouwendijk RJ, Dees A. Severe hypokalemic paralysis and rhabdomyolysis due to ingestion of liquorice. Neth J Med 2005 ; 63 : 146-148.
6. Achar KN, Abduo TJ, Menon NK. Severe hypokalemic rhabdomyolysis due to ingestion of liquorice during Ramadan. Aust N Z J Med 1989 ; 19 : 365-367.
7. Berlango Jimenez A, Jimenez Murillo L, Montero Perez FJ, Munoz Avila JA, Torres Murillo J, Calderon de la Barca Gazquez JM. Acute rhabdomyolysis and tetraparesis secondary to hypokalemia due to ingested licorice. An Med Interna 1995 ; 12 : 33-35.
8. Gross EG, Dexter JD, Roth RG. Hypokalemic myopathy with myoglobinuria associated with licorice ingestion. N Engl J Med 1966 ; 274 : 602-603.
9. Guis S, Mattel JP, Cozzone PJ, Bendahan D. Pathophysiology and clinical presentations of rhabdomyolysis. Joint Bone Spine 2005 ; 72 : 382-391.
10. Japanese source
11. Kim HW, Choi JR, Jang SJ, Chang YS, Bang BK, Park CW. Recurrent rhabdomyolysis and myoglobinuric acute renal failure in a patient with polymyositis. Nephrol Dial Transplant 2005 ; 20 : 2255-2258.
12. Warren JD, Blumbergs PC, Thompson PD. Rhabdomyolysis. Muscle Nerve 2002 ; 25 : 332-347.
13. Ward MM. Factors predictive of acute renal failure in rhabdomyolysis. Arch Intern Med 1988 ; 148 : 1553-1557.
14. Saito T, Tsuboi Y, Fujisawa G, Sakuma N, Honda k, Okada K, Saito K. An autopsy case of licorice-induced hypokalemic rhabdomyolysis associated with acute renal failure : Special reference to profound calcium deposition in skeletal and cardiac muscle. Jpn J Nephrol 1994 ; 36 : 1308-1314.
15. de Klerk GJ, Nieuwenhuis MG, Beutler JJ. Lesson of the week : hypokalaemia and hypertension associated with use of liquorice flavoured chewing gum. BMJ 1997 ; 314 : 731-734.
16. Russo S, Mastropasqua M, Mosetti MA, Persegani C, Paggi A. Low dose of liquorice can induce hypertension encephalopathy. Am J Nephrol 2000 ; 20 : 145-148.
17. Nielsen I, Pedersen RS. Life-threatening hypokalaemia caused by liquorice ingestion. Lancet 1984 ; 9 : 8389.
18. Lin S, Yang S, Chau T, Halperin ML. An unusual cause of hypokalemic paralysis : chronic licorice ingestion. Am J Med Sci 325 ; 2003 : 153-156.
19. West ML, Marsden PA, Richardson RM, Zettle RM, Halperin ML. New clinical approach to evaluate disorders of potassium excretion. Miner Electrolyte Metab 1986 ; 12 : 234-238.
20. Ethier JH, Kamel KS, Magner PO, Lemann J, Halperin ML. The transtubular potassium concentration in patients with hypokalemia and hyperkalemia. Am J Kidney Dis 1990 ; 15 : 309-315.