Hypokalemic paralysis with rhabdomyolysis and arterial hypertension caused by liquorice ingestion
Sirs: We report about a 47-year-old male who acutely developed muscle weakness of the lower extremities accompanied by a tingling paraesthesia. By the next day the weakness had progressed and involved the thoracolumbar spine, the posterior neck, left shoulder and the finger flexors of the left hand. The patient had been feeling well until 5 days prior to admission, when he began having difficulty walking and climbing stairs. The patient denied strenuous exertion or alcohol or drug use. He had no family history of neuromuscular disorders and there were no similar cases in his family. The patient consulted an orthopaedist, who observed a marked hyporeflexia of the lower extremities and left arm. To exclude an acute spinal cord compression the patient underwent CTscan and MR imaging, which revealed no pathologic findings. To determine the cause of the acute paraesthesia the patient was referred to a neurologist, who was unable to identify the aetiology of the patient’s symptoms. Thus the patient was sent to hospital for further evaluation. Upon admission he complained of progressive muscle weakness, muscle pain and discomfort in his
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