Nagele Werner, Hörmann Johannes, Nagele Jutta
Department of Internal Medicine, Laas General Hospital, Kötschach-Mauthen, Austria.
Wien Med Wochenschr. 2009;159(5-6):156-9. doi: 10.1007/s10354-009-0644-1.
This report describes the case of a 29-year-old Chechen refugee with periodic hypokalemic thyreotoxic tetraparesis (PHTP). Besides a partial respiratory insufficiency, the patient was also presented with sinus bradycardia. Medical literature describes several cases of thyreotoxicosis in combination with bradycardia. For the first time, we were able to observe a case of PHTP in combination with sinus bradycardia. PHTP is rarely seen in central Europe. In this case establishing a final diagnosis was difficult because of the concomitant presence of bradycardia and Graves' disease.
本报告描述了一名29岁患有周期性低钾性甲状腺毒症性四肢轻瘫（PHTP）的车臣难民病例。除了部分呼吸功能不全外，该患者还伴有窦性心动过缓。医学文献记载了数例甲状腺毒症合并心动过缓的病例。我们首次观察到一例PHTP合并窦性心动过缓的病例。PHTP在中欧很少见。在该病例中，由于同时存在心动过缓和格雷夫斯病，最终诊断颇具难度。
