Commentary

[摘要] The combination of hypokalemia, hypomagnesemia, and normal BP raises the specter of external loss of sodium, potassium, and magnesium; the absence of hypertension excludes untreated mineralocorticoid/glucocorticoid excess and similar syndromes. This type of external solute loss suggests disease of either the gastrointestinal tract or kidneys; however, in this patient, clinical history does not support gastrointestinal loss.A renal cause for this metabolic picture is logical, as the patient has excessive urinary sodium and …

[学科分类] 过敏症与临床免疫学