Severe Symptomatic Hyperkalemia in an Adrenalectomized Woman Due to Enhanced Mineralocorticoid Requirement

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Abstract
The patient had hyponatremia, moderate acidosis and hyperkalemia. Acidosis was corrected by higher fluorohydrocortisone administration. Electrolyte disturbances and increased mineralocorticoid requirement result from acquired renal tubular lesion resulting from repeated episodes of pyelonephritis. Endogenous hyperaldosteronism may be an important factor in preventing hyperkalemia.

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