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高钾性周期性麻痹:艾迪生病的一种罕见表现。

Hyperkalaemic periodic paralysis: a rare presentation of Addison's disease.

作者信息

Sowden J M, Borsey D Q

机构信息

Glan Clwyd Hospital, Wales, UK.

出版信息

Postgrad Med J. 1989 Apr;65(762):238-40. doi: 10.1136/pgmj.65.762.238.

Abstract

A 44 year old man with longstanding diabetes mellitus gave a 6-month history of periodic attacks of flaccid quadriplegia. Following one of these episodes he was admitted for assessment. In view of persistent hyperkalaemia, hypoadrenalism was suspected and Addison's disease was confirmed biochemically. Adrenal replacement therapy restored the potassium levels to normal and resulted in no further attacks of paralysis.

摘要

一名患有长期糖尿病的44岁男性有6个月周期性弛缓性四肢瘫发作史。在其中一次发作后,他入院接受评估。鉴于持续性高钾血症,怀疑患有肾上腺皮质功能减退症,生化检查确诊为艾迪生病。肾上腺替代疗法使血钾水平恢复正常,且未再出现麻痹发作。

相似文献

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Flaccid quadriplegia, hyperkalemia, and Addison's disease.
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本文引用的文献

1
Some clinical manifestations of abnormal potassium metabolism.钾代谢异常的一些临床表现。
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HYPERKALEMIC PARALYSIS DUE TO ADRENAL INSUFFICIENCY.肾上腺功能不全所致高钾性麻痹
Arch Intern Med. 1965 Apr;115:418-20. doi: 10.1001/archinte.1965.03860160044007.
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Flaccid quadriplegia, hyperkalemia, and Addison's disease.
AMA Arch Intern Med. 1953 Jan;91(1):56-67. doi: 10.1001/archinte.1953.00240130064007.

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