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Emergency Medicine Journal 2005;22:154-155; doi:10.1136/emj.2003.011734
© 2005 BMJ Publishing Group Ltd and the College of Emergency Medicine.

CASE REPORT

Life threatening hyperkalaemia with diarrhoea during ACE inhibition

J McGuigan, S Robertson, C Isles

Renal Unit, Dumfries and Galloway Royal Infirmary, Dumfries, UK

Correspondence to:
Correspondence to:
Dr C Isles
Renal Unit, Dumfries and Galloway Royal Infirmary, Dumfries DG1 4AP, UK; c.isles{at}dgri.scot.nhs.uk

ABSTRACT

A 67 year old woman developed acute renal failure with serum potassium 9.4 mmol/l requiring emergency dialysis after seven days of diarrhoea while taking an ACE inhibitor for vascular disease. Review of the literature, the British National Formulary, and the patient information leaflets for each of the 11 ACE inhibitors currently marketed in the UK suggests that this potentially life threatening complication of ACE inhibition is not yet widely recognised.


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This article has been cited by other articles:

  • Lameire, N., Van Biesen, W., Vanholder, R. (2006). The Rise of Prevalence and the Fall of Mortality of Patients with Acute Renal Failure: What the Analysis of Two Databases Does and Does Not Tell Us. J. Am. Soc. Nephrol. 17: 923-925 [Full Text]  

eLetters:

Read all eLetters

Diuretic induced renal failure
Alan D Exton
EMJ Online, 1 Mar 2005 [Full text]
Authors' reply
Chris Isles, et al.
EMJ Online, 26 Apr 2005 [Full text]

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