Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion

  • Hassene Attout Internal Medicine Unit, General Hospital, Ales, France
  • Andry Randriajohany Internal Medicine Unit, GHER, Saint-Benoit, Réunion
  • Françoise Josse Internal Medicine Unit, GHER, Saint-Benoit, Réunion
  • Vincent Appavoupoule Internal Medicine Unit, GHER, Saint-Benoit, Réunion
  • Yoga Thirapathi Internal Medicine Unit, GHER, Saint-Benoit, Réunion

Keywords

Hypokalaemia, rhabdomyolysis, liquorice abuse

Abstract

Chronic ingestion of liquorice induces a syndrome with findings similar to those for primary hyperaldosteronism. This is characterized by hypokalaemia, hypertension, metabolic alkalosis and suppression of the renin-aldosterone system.
We describe a 30-year-old woman who, with a plasma potassium level of 1.5 mmol/l, presented with tetraparesis and severe rhabdomyolysis (CK up to 35,460 U/l). She admitted to a daily consumption of nearly 300 g of liquorice sweets during the previous 6 months. This case emphasizes the importance of a detailed anamnesis, which is essential for diagnosis, avoids unnecessary and expensive investigations and reduces the duration of hospitalization.

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  • Published: 2020-03-09

    Issue: Vol 7 No 4 (view)

    Section: Articles

    How to cite:
    1.
    Attout H, Randriajohany A, Josse F, Appavoupoule V, Thirapathi Y. Tetraparesis with Major Hypokalaemia and Rhabdomyolysis Induced by Chronic Liquorice Ingestion. EJCRIM 2020;7 doi:10.12890/2020_001375.