首页 | 本学科首页   官方微博 | 高级检索  
     


Cautopyreiophagia. Cause of life-threatening hyperkalemia in a patient undergoing hemodialysis
Authors:D K Abu-Hamdan  J H Sondheimer  S K Mahajan
Affiliation:1. ENEA, Casaccia Research Center, Rome, Italy;2. KT—Kinetics Technology S.p.A, Rome, Italy;3. NextChem s.r.l., Rome, Italy;1. Nutritional Sciences Department, College of Human Sciences, Texas Tech University, P.O. Box 41270, Lubbock, TX 79409, USA;2. Department of Nutrition and Dietetics, Faculty of Health Sciences, University of the Free State, Postal Box 339, Bloemfontein 9300, South Africa;3. Translational Australian Clinical Toxicology Programme, Discipline of Pharmacology, School of Medicine, the University of Sydney, 2006, NSW, Australia;4. Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Postal Box 339, Bloemfontein 9300, South Africa;5. Division Clinical Hematology, Department of Internal Medicine, Faculty of Health Sciences, University of the Free State, Postal Box 339, Bloemfontein 9300, South Africa;1. Service de néphrologie, hôpitaux universitaires de Strasbourg, faculté de médecine, Strasbourg, France;2. CHU Lyon-Sud, 165, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France;3. Service de néphrologie, hôpital Necker-Enfants malades, 149, rue de Sèvres 75015 Paris, France
Abstract:
A male patient undergoing hemodialysis in whom the cause of severe hyperkalemia (more than 8 mmol/liter) was found to be an unusual pica is described. His pica consisted of ingestion of burnt match heads (cautopyreiophagia). The potassium content of his daily consumption of burnt matches added 80 mmol to his 45 mmol dietary potassium intake. Hypogeusia and hypozincemia were documented. Oral zinc supplementation (zinc sulfate 220 mg per day for 10 weeks) normalized his plasma zinc level and taste acuity. He abandoned his pica and his plasma potassium level dropped significantly to 5.5 to 6 mmol/liter. It is suggested that inquiry about pica should be part of the dietary history in patients with renal failure.
Keywords:
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号