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Hyperkalemia in Salt-Wasting NephropathyStudy of the Mechanism
Mordecai M. Popovtzer, MD;
Fred H. Katz, MD;
Wulf F. Pinggera, MD;
John Robinette;
Charles G. Halgrimson, MD;
Donald E. Butkus, MD
Arch Intern Med. 1973;132(2):203-208.
Abstract
Episodes of hyperkalemia associated with severe muscle weakness dominated the clinical course of a patient with salt-losing nephropathy. The evaluation of urinary excretory patterns of electrolytes under varying intakes of sodium suggested that a reduction of glomerular filtration below a critically low rate was the main factor responsible for renal retention of potassium with resulting hyperkalemia.
Author Affiliations
Denver
From the departments of medicine (Drs. Popovtzer, Katz, Pinggera, and Butkus and Mr. Robinette) and surgery (Dr. Halgrimson), University of Colorado Medical Center and Veterans Administration Hospital, Denver.
Footnotes
Received for publication Dec 14,1971; accepted July 7, 1972.
Reprint requests to 4200 E Ninth Ave, Denver 80220 (Dr. Popovtzer).
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