甲状腺毒症性低钾性周期性麻痹是一种罕见但可能致命的急症：病例报告及文献综述。

Thyrotoxic hypokalemic periodic paralysis is a rare but potentially fatal emergency: case report and literature review.

作者信息

Gómez-Torres Jeisa Y, Bravo-Llerena Wilfredo E, Reyes-Ortiz Luis M, Valderrábano-Wagner Rodrigo J, Mariano-Mejías Victor, Brunet-Rodríguez Héctor, Lemos-Ramírez Juan C

机构信息

Department of Internal Medicine, Dr. Ramón Ruiz Arnau University Hospital, Bayamón, Puerto Rico.

出版信息

Bol Asoc Med P R. 2011 Apr-Jun;103(2):67-74.

PMID:22111475

Abstract

We report a case of a 39 year-old Asian man in whom profound lower limb paralysis, along with severe hypokalemia and electrocardiographic changes, were the presenting features of Graves' disease (GD)-related thyrotoxicosis. Rapid recognition and management of the disorder were the key factors to avoid fatal hypokalemia-induced cardiac arrhythmias and promptly restore patient's capacity to ambulate.

摘要

我们报告了一例39岁的亚洲男性病例，其以严重的下肢麻痹、严重低钾血症和心电图改变为Graves病（GD）相关甲状腺毒症的首发症状。快速识别和处理该疾病是避免致命的低钾血症诱发心律失常并迅速恢复患者行走能力的关键因素。