Baumgartner F J, Lee E T
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.
J Natl Med Assoc. 1990 Feb;82(2):129, 133-4.
A case of hyperthyroid periodic paralysis in a Hispanic male is reported, the disorder in this race being described only once before. He presented with complete paralysis below the neck, and his admission potassium of 1.3 mEq/L is the lowest reported in the literature. Correction of the hypokalemia resolved his symptoms. Radionuclide imaging and thyroid function tests revealed the presence of hyperthyroidism which was managed medically. The pathophysiology of hyperthyroid hypokalemic periodic paralysis is discussed.
报告了一例西班牙裔男性甲状腺功能亢进性周期性麻痹病例,该种族的这种疾病此前仅被描述过一次。他表现为颈部以下完全瘫痪,入院时血钾为1.3 mEq/L,是文献报道中最低的。低钾血症的纠正缓解了他的症状。放射性核素成像和甲状腺功能检查显示存在甲状腺功能亢进,通过药物治疗。本文讨论了甲状腺功能亢进性低钾性周期性麻痹的病理生理学。