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Observation on a Patient With Severe Renal Disease and Refractory Edema

ERZSEBET HERMAN, MD; JANOS RADO, MD

Arch Neurol. 1966;15(1):74-77.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

FLACCID quadriplegia associated with hyperkalemia was described by Finch and Marchand¹ in 1943 in two patients with renal insufficiency. Since then, a number of cases have been described in patients with renal insufficiency accompanied by oliguria, anuria, and "salt-losing" nephritis^2-8; in Addison's disease^4,5,9-12; and in patients with a peculiar familial disease accompanied by hyperkalemia (hyperkalemic familial periodic paralysis).^3,4,13 In the case reported here the hyperkalemic state accompanied by irreversible flaccid muscular paralysis developed in a patient suffering from diabetic nephropathy who had been treated with spironolactone because of refractory edema.

This case is reported in order to call attention to the danger of spironolactone treatment in patients with chronic renal diseases, and because no similar case could be found in the literature.

Report of a Case

The patient, a 43-year-old man, was admitted on Feb 1, 1964. He had been suffering from juvenile diabetes mellitus since . . . [Full Text PDF of this Article]

Author Affiliations
BUDAPEST

From the Isotopic Department and Metabolic Unit and the Department of Medicine, János Hospital, XII, Diósárok ut 1, Budapest.

Footnotes
Submitted for publication Jan 7, 1966; accepted March 10.

Reprint requests to the Isotopic Department and Metabolic Unit and the Department of Medicine, János Hospital, XII, Diósárok ut 1, Budapest (Dr. Radó).

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