Nora N A, Berns A S
St Francis Hospital, Evanston, IL 60202.
Am J Kidney Dis. 1989 Mar;13(3):247-9. doi: 10.1016/s0272-6386(89)80060-5.
Thyrotoxic periodic paralysis is an uncommon neuromuscular disorder frequently associated with severe hypokalemia. We describe a patient with hypophosphatemia occurring in the setting of hypokalemic thyrotoxic periodic paralysis, an association reported only once previously. A review of the literature indicates that this combined biochemical derangement may not be uncommon and that thyrotoxic periodic paralysis should be recognized as a potential cause of hypophosphatemia. The correction of both hypokalemia and hypophosphatemia may lead to a more rapid resolution of the associated acute neurologic syndrome.
甲状腺毒症性周期性麻痹是一种罕见的神经肌肉疾病，常伴有严重低钾血症。我们描述了一名在低钾性甲状腺毒症性周期性麻痹情况下发生低磷血症的患者，这种关联此前仅报道过一次。文献综述表明，这种合并的生化紊乱可能并不罕见，甲状腺毒症性周期性麻痹应被视为低磷血症的一个潜在原因。低钾血症和低磷血症的纠正可能会使相关急性神经综合征更快得到缓解。
