Variable Potassium Concentrations: Which Is Right and Which Is Wrong?
العنوان: | Variable Potassium Concentrations: Which Is Right and Which Is Wrong? |
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المؤلفون: | Talent Theparee, Hong-Kee Lee, Robert Benirschke |
المصدر: | Laboratory Medicine. 48:183-187 |
بيانات النشر: | Oxford University Press (OUP), 2017. |
سنة النشر: | 2017 |
مصطلحات موضوعية: | Male, 030213 general clinical medicine, medicine.medical_specialty, Potassium, Clinical Biochemistry, chemistry.chemical_element, Leukocyte Count, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, White blood cell, Internal medicine, Lactate dehydrogenase, medicine, Humans, Leukocytosis, Aged, Whole blood, Hematology, business.industry, Biochemistry (medical), medicine.disease, Tumor lysis syndrome, medicine.anatomical_structure, Endocrinology, chemistry, 030220 oncology & carcinogenesis, Hyperkalemia, Uric acid, medicine.symptom, Tumor Lysis Syndrome, business |
الوصف: | Reverse pseudohyperkalemia is a term used to describe in vitro, falsely elevated potassium concentrations in plasma specimens that occur in association with extreme leukocytosis and are commonly associated with hematologic malignant neoplasms. Tumor lysis syndrome is an in vivo lysis of tumor cells that leads to elevated levels of potassium, uric acid, phosphate, and lactate dehydrogenase, as well as decreased calcium concentrations. Herein, we report a case of a 66-year-old Caucasian man with stage IV mantle-cell lymphoma who has elevated levels of potassium, uric acid, and phosphorus, as well as a white blood cell (WBC) count greater than 100,000 cells per mm3. The patient initially was diagnosed as having tumor lysis syndrome. His subsequent potassium concentrations in whole blood remained elevated even after hemodialysis; however, his serum potassium concentrations were decreased. The patient then was diagnosed accurately as having reverse pseudohyperkalemia, and accurate potassium measurements were obtained via serum specimens. |
تدمد: | 1943-7730 0007-5027 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d553edd97bf8a9e0e258d8bbd14c6883 https://doi.org/10.1093/labmed/lmx015 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....d553edd97bf8a9e0e258d8bbd14c6883 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 19437730 00075027 |
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