High pot but no T

Introduction. The identification and treatment of patients with hyperkalemia is necessary to prevent the development of arrhythmias. Pseudohyperkalemia is most commonly due to specimen haemolysis and is often recognised by laboratory scientists who subsequently report test results with cautionary wa...

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Published inRevista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo Vol. 13; no. 3; pp. 307 - 310
Main Authors Manrique-Gonzalez, Luis Miguel, Truttmann, Berta, Münzer MD, Thomas
Format Journal Article
LanguageEnglish
Published Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo 01.01.2020
Subjects
MEDICINE, GENERAL & INTERNAL
Electrocardioma
Lymphocytic
Potasio
Hyperkalemia
Chronic
Leukemia
Hiperkalemia
Electrocardiography
Linfoma
Potassium
Leucemia
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Summary:Introduction. The identification and treatment of patients with hyperkalemia is necessary to prevent the development of arrhythmias. Pseudohyperkalemia is most commonly due to specimen haemolysis and is often recognised by laboratory scientists who subsequently report test results with cautionary warnings. The authors present a case of pseudohyperkalemia in a patient with chronic lymphocytic leukaemia. Report case: the technical factors and method of transport are a potential cause of pseudohyperkalemia. Pseudohyperkalemia has been associated with hyperleukoctosis, in cancer patient populations, more commonly in CLL in adults, but also acute lymphoblastics leukemia in children. This places the patient at risk of unnecessary and potentially dangerous treatments. Conclusion: Physicians should consider pseudohyperkalemia as the underlying cause of elevated potassium levels in patients with malignant leucocytosis who do not have signs or symptom of systemic hyperkalemia.
ISSN:2225-5109
2227-4731
2227-4731
DOI:10.35434/rcmhnaaa.2020.133.743