Journals / Türkiye Çocuk Hastalıkları Dergisi / 2026 / Cilt: 18 Sayı: 3

Unexpected Hyperkalemia During Kawasaki Disease

Kawasaki Hastalığının Seyri Sırasında Beklenmedik Şekilde Gelişen Hiperkalemi

Pages
199–202
Publication Date
2024-05-13
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

He was finally diagnosed with pseudohyperkalemia based on a normal whole blood potassium level measured with a blood gas analyser.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pseudohyperkalemia is defined as a markedly elevated serum potassium level with a normal plasma potassium concentration.
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Key Findings & Data:It is mainly caused by leucocytosis and thrombocytosis.
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Conclusion & Impact:He was finally diagnosed with pseudohyperkalemia based on a normal whole blood potassium level measured with a blood gas analyser.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Kawasaki hastalığı · hiperkalemi · NSAİİ

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.

Özet

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.

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Cite This Article

Bayhan, G. İ., Gökdöl, M. Y., Öcal, A. T., Pamuk, U., Güngörer, V., Erat, T., Parlakay, A. Ö. (2024). Unexpected Hyperkalemia During Kawasaki Disease. Türkiye Çocuk Hastalıkları Dergisi, Cilt: 18 Sayı: 3, 199–202. https://doi.org/10.12956/tchd.1393779

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References (14)

  1. Lehnhardt A, Kemper MJ. Pathogenesis, diagnosis and management of hyperkalemia. Pediatr Nephrol 2011;26:377-84.
  2. Meng QH, Wagar EA. Pseudohyperkalemia: A new twist on an old phenomenon. Crit Rev Clin Lab Sci 2015;52:45-55.
  3. Daly K, Farrington E. Hypokalemia and hyperkalemia in infants and children: pathophysiology and treatment. J Pediatr Health Care 2013;27:486-96.
  4. Rotenberg FA, Giannini VS. Hyperkalemia associated with ketorolac. Ann Pharmacother 1992;26:778-9.
  5. Tan SY, Shapiro R, Franco R, Stockard H, Mulrow PJ. Indomethacin-induced prostaglandin inhibition with hyperkalemia. A reversible cause of hyporeninemic hypoaldosteronism. Ann Intern Med 1979;90:783-5.
  6. Janjua H. Management of hyperkalemia in children. Curr Opin Pediatr. 2023 Nov 27. doi: 10.1097/MOP.0000000000001321.
  7. Asirvatham JR, Moses V, Bjornson L. Errors in potassium measurement: a laboratory perspective for the clinician. N Am J Med Sci 2013;5:255-9
  8. Shimizu T, Yamashiro Y, Yabuta K. Pseudohyperkalaemia in Kawasaki disease. Eur J Pediatr 1992;151:497-8.
  9. Sevastos N, Theodossiades G, Archimandritis AJ. Pseudohyperkalemia in serum: a new insight into an old phenomenon. Clin Med Res 2008;6:30-2.
  10. Robson WL, Kabani AM, Leung AK, Fick GH, McKenna AI. The relationship of the serum potassium to the platelet count in children. Clin Pediatr (Phila) 1992;31:123-5.
  11. Graber M, Subramani K, Corish D, Schwab A. Thrombocytosis elevates serum potassium. Am J Kidney Dis 1988;12:116-20.
  12. Mäkelä K V Kairisto, O Peltola, T Hollmén, A Virtanen, K Pulkki, V Näntö. Effect of platelet count on serum and plasma potassium: evaluation using database information from two hospitals. Scand J Clin Lab Invest Suppl 1995;222:95-100
  13. Šálek T. Pseudohyperkalemia - Potassium released from cells due to clotting and centrifugation - a case report. Biochem Med (Zagreb) 2018;28:011002.
  14. Robson WL, Kabani AM, Leung AK, Fick GH, McKenna AI. The relationship of the serum potassium to the platelet count in children. Clin Pediatr (Phila) 1992;31:123-5.