SUSAN S. BRAITHWAITE, M.D.; FRANKLIN L. PERKINS, M.D.; RALPH G. RYAN, M.D.; GERALD M. GAWLIK, M.D.
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To the editor: We have had the opportunity to see an addisonian diabetic patient with saline-resistant hyperkalemia. This presentation should suggest the possibility of hyperglycemia-induced hyperkalemia, an entity described in diabetic persons with (1) and without (2) selective aldosterone deficiency.
The patient was a 28-year-old white man who had had diabetes mellitus since age 13. Past history included appendectomy in 1955, and he had craved salt since about 1976. Since March 1976, treatment at other institutions for arterial insufficiency of the lower extremities had included sympathectomy, bilateral arterial bypass operations, left above-the-knee amputation, and right below-the-knee amputation. Stump infection necessitated
BRAITHWAITE SS, PERKINS FL, RYAN RG, GAWLIK GM. Saline-Resistant Hyperkalemia in Addison's Disease. Ann Intern Med. ;90:133. doi: 10.7326/0003-4819-90-1-133_1
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Published: Ann Intern Med. 1979;90(1):133.
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