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Laborchemisch imponierte die Konstellation einer Rhabdomyolyse bei ausgepr\u00e4gter Hypokali\u00e4mie. Unter Kaliumsubstitution besserten sich die Beschwerden. Als Ursache der Hypokali\u00e4mie konnte ein Hyperaldosteronismus identifiziert werden. Sonographisch war eine Nebennierenraumforderung nachweisbar, die nach operativer Entfernung als Nebennierenkarzinom diagnostiziert wurde. 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