Kawasaki Hastalığının Seyri Sırasında Beklenmedik Şekilde Gelişen Hiperkalemi

Abstract

Psödohiperkalemi, plazma potasyum konsantrasyonu normal iken serum potasyum seviyesinin belirgin şekilde yüksek bulunması olarak tanımlanır. Esas olarak lökositoz ve trombositozdan kaynaklanır. Burada, Kawasaki hastalığı için aspirin ile tedavisi alan ve takip sırasında hiperkalemisi gelişen bir bebek bildirilmektedir. Kan gazı cihazı ile ölçülen tam kan potasyum seviyesinin normal bulunması ile psödohiperkalemi tanısı konulmuştur.

Keywords

• Kawasaki hastalığı
• hiperkalemi
• NSAİİ
• nonsteroid antiinflamatuvar ilaçlar
• psödohiperkalemi

Unexpected Hyperkalemia During Kawasaki Disease

Abstract

Pseudohyperkalemia is defined as a markedly elevated serum potassium level with a normal plasma potassium concentration. It is mainly caused by leucocytosis and thrombocytosis. Here we report an infant treated with aspirin for Kawasaki disease who developed hyperkalemia during follow-up. He was finally diagnosed with pseudohyperkalemia based on a normal whole blood potassium level measured with a blood gas analyser.

Keywords

• Kawasaki disease
• hyperkalemia
• NSAIDs
• nonsteroidal anti-inflammatory drugs
• pseudohyperkalemia

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