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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 2000 August;41(4):631-2
Upper limb ischemia induced by chronic licorice ingestion
Lozano P., Flores D., Martínez S., Artigues I., Rimbau E. M., Gómez F.
From the Department of Angiology and Vascular Surgery, Son Dureta Hospital Ciutat de Mallorca, Balearic Islands, Spain
A young woman had an acute embolic episode that affected her right upper limb. An axillo-brachial thromboembolectomy was performed after which distal pulses were recovered. The patient had a long lasting history, longer than ten years, of continuous licorice ingestion. Blood samples showed severe hypokaliemia that caused EKG changes. Transesophageal echocardiogram discovered mild mitral valve prolapse. The combination of surgery and potassium supplements was successful in treating this rare and potentially life-threatening disease.