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however, a retrospective study of 974 healthy women taking spironolactone for acne found only 0.72 percent of serum potassium measurements were abnormal compared to the 0.76 percent baseline rate of hyperkalemia.[49] Considering these results and other similar reports, many dermatologists deem routine potassium monitoring as unnecessary for healthy women on spironolactone, but ultimately, lab monitoring is left to each providers discretion

PCD patients can present with symptoms of severe hypoketotic hypoglycaemia, hepatic dysfunction, cardiac arrhythmias, cardiomyopathies or SCD 13,14,15,16,17,18,19