Expanding the differential: toluene-induced toxicity.

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Citation: BMJ Case Reports. 2017, 2017 Aug 01PMID: 28765189Institution: MedStar Washington Hospital CenterDepartment: MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Acidosis/dt [Drug Therapy] | *Hypokalemia/dt [Drug Therapy] | *Muscle Weakness/dt [Drug Therapy] | *Toluene/to [Toxicity] | Acidosis/ci [Chemically Induced] | Administration, Intravenous | Adult | Female | Humans | Hypokalemia/ci [Chemically Induced] | Muscle Weakness/ci [Chemically Induced] | Potassium/ad [Administration & Dosage] | Potassium/tu [Therapeutic Use] | Treatment OutcomeYear: 2017ISSN:
  • 1757-790X
Name of journal: BMJ case reportsAbstract: A 31-year-old woman presented to the hospital with generalised weakness and lower back and abdominal pain. The only significant finding on physical examination was the weakness of the legs. Laboratory analysis in the emergency department revealed that she was hypokalaemic with metabolic acidosis. She was treated with oral and intravenous potassium, which resolved her weakness. During the search for an explanation for her renal tubular acidosis, she said she was exposed to paint exposure while working on a friend's house. She was discharged on correction of her hypokalaemia, and a subsequent test revealed elevated blood toluene level.Copyright (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.All authors: Ammar H, Dharmarajan LFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2017-08-04
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Journal Article MedStar Authors Catalog Article 28765189 Available 28765189

A 31-year-old woman presented to the hospital with generalised weakness and lower back and abdominal pain. The only significant finding on physical examination was the weakness of the legs. Laboratory analysis in the emergency department revealed that she was hypokalaemic with metabolic acidosis. She was treated with oral and intravenous potassium, which resolved her weakness. During the search for an explanation for her renal tubular acidosis, she said she was exposed to paint exposure while working on a friend's house. She was discharged on correction of her hypokalaemia, and a subsequent test revealed elevated blood toluene level.

Copyright (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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