This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Michael L. Stoltz, MD; Charles E. Andrews, Jr, MD
Dialysis Associates Fort Worth, Tex

JAMA. 1990;264(21):2737-2738.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The recent Commentary by Wadden et al¹ and subsequent letters to the editor² discussed complications associated with rapid weight loss using very-low-calorie diets. I report herein a complication occurring with the combination of angiotensin converting enzyme inhibitors and protein supplement very-low-calorie diets.

Report of a Case.—

A 64-year-old woman presented to the emergency department with weakness following intermittent vomiting for 36 hours. She had lost 33.8 kg over the previous 6 months, on a diet of five packages per day of a protein supplement and one dinner salad topped with lemon juice and salt substitute. She continued to ingest her supplement despite her vomiting. Hypertension, which had failed to resolve with weight reduction, was being treated with lisinopril, 10 mg daily, and she took 600 mg of theophylline daily.

In the emergency department, she complained of severe weakness. Her serum potassium measurement was 9.7 mmol/L. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?