Word Andrew, Davidson Kevin, Elsayed Essam
Departement of Internal Medicine, UT Southwestern Medical School, 5323 Harry Hines Blvd., Dallas, TX 75390, USA.
Case Rep Endocrinol. 2012;2012:616930. doi: 10.1155/2012/616930. Epub 2012 Oct 18.
Thyrotoxic induced hypokalemic periodic paralysis is a rare disorder that had been described in middle-aged men, predominantly Asians and Hispanics. This case presented with generalized weakness and hypokalemia after changing prescription for levothyroxine and starting prednisone to treat upper respiratory infection in a previously asymptomatic middle-aged Hispanic male. In this paper, we will go over the clinical presentation, mechanisms, and treatment of thyrotoxic induced hypokalemic periodic paralysis. Our objectives are to identify the classic constellation of findings in thyrotoxic periodic paralysis and to recognize the importance of considering thyrotoxic periodic paralysis among patients with hypokalemia.
甲状腺毒症性低钾性周期性麻痹是一种罕见的疾病，多见于中年男性，主要是亚洲人和西班牙裔。该病例为一名既往无症状的中年西班牙裔男性，在更改左甲状腺素处方并开始使用泼尼松治疗上呼吸道感染后，出现全身无力和低钾血症。在本文中，我们将阐述甲状腺毒症性低钾性周期性麻痹的临床表现、发病机制及治疗方法。我们的目标是明确甲状腺毒症性周期性麻痹的典型症状组合，并认识到在低钾血症患者中考虑甲状腺毒症性周期性麻痹的重要性。
