Source:http://linkedlifedata.com/resource/pubmed/id/12508968
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2003-1-1
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pubmed:abstractText |
Pseudohyperkalemia is defined as a serum potassium concentration 0.4 mEq/l greater than the plasma concentration. The basis of this phenomenon is the release of intracellular potassium from platelets, leukocytes, or erythrocytes, commonly in the setting of extreme leukocytosis (> 10 x 10(4)/microl) or thrombocytosis (> 60 x 10(4)/microl). We report a case of pseudohyperkalemia in a patient with chronic renal failure and polycythemia vera without the finding of severe leukocytosis or thrombocytosis (white blood cell count 1.88 x 10(4)/microl and platelet count 37.9 x 10(4)/microl, respectively). The serum potassium concentration was 8.2 mEq/l, while the plasma potassium level was 6.4 mEq/l in a sample obtained simultaneously. The concentrations of platelet factor IV and beta-thromboglobulin, known to be markers of platelet activation, were greater than 100 ng/ml and 200 ng/ml, respectively, indicating that platelet activation may have been related to the development of pseudohyperkalemia in this patient. These findings suggest that pseudohyperkalemia should be considered when hyperkalemia is seen in a patient with chronic renal failure and myeloproliferative disorders.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0301-0430
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
58
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
451-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12508968-Aged,
pubmed-meshheading:12508968-Humans,
pubmed-meshheading:12508968-Hyperkalemia,
pubmed-meshheading:12508968-Kidney Failure, Chronic,
pubmed-meshheading:12508968-Leukocytosis,
pubmed-meshheading:12508968-Male,
pubmed-meshheading:12508968-Polycythemia Vera,
pubmed-meshheading:12508968-Potassium,
pubmed-meshheading:12508968-Thrombocytosis
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pubmed:year |
2002
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pubmed:articleTitle |
Pseudohyperkalemia occurring in a patient with chronic renal failure and polycythemia vera without severe leukocytosis or thrombocytosis.
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pubmed:affiliation |
First Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan. fukasawa@hama-med.ac.jp
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pubmed:publicationType |
Journal Article,
Case Reports
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