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Department of Neurology, Georgetown University Hospital, Washington, DC.
A 36-year-old woman presented with proximal muscle weakness, cramps, and a serum Dotassium level of 2.7 mEq/1. During her hospitalization she was noted to use excessive quantities of a snuff preparation containing glycyrrhizinic acid, a potent mineralocorticoid analogue. With discontinuation of this substance, her potassium returned to normal values and her strength improved. This case is submitted as a hypokalemia myopathy induced by snuff dipping.
Address correspondence and reprint requests to Dr. Valeriano, Department of Neurology, Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC 20007.
Accepted for publication January 3, 1983.
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