急诊科低钾血症性甲状腺毒症周期性麻痹伴急性缓解
Normokalemic Thyrotoxic Periodic Paralysis with Acute Resolution in the Emergency Department.
作者信息
Gragg James I, Federico Massimo, Mellick Larry B
机构信息
Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
Augusta University Medical Center, Department of Emergency Medicine, Augusta, Georgia.
出版信息
Clin Pract Cases Emerg Med. 2017 Mar 15;1(2):129-131. doi: 10.5811/cpcem.2017.1.33211. eCollection 2017 May.
Abstract
Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED.
摘要
甲状腺毒症性周期性瘫痪是急诊科急性瘫痪的罕见病因。该疾病通常被认为是由急性低钾血症导致瘫痪。治疗一般旨在纠正甲状腺毒症状态并谨慎补充钾。我们报告了1例在急诊科血钾正常的甲状腺毒症性周期性瘫痪且急性缓解的罕见病例。
相似文献
1
Normokalemic Thyrotoxic Periodic Paralysis with Acute Resolution in the Emergency Department.急诊科低钾血症性甲状腺毒症周期性麻痹伴急性缓解
Clin Pract Cases Emerg Med. 2017 Mar 15;1(2):129-131. doi: 10.5811/cpcem.2017.1.33211. eCollection 2017 May.
2
A 32-year-old Man with Normokalemic Thyrotoxic Periodic Paralysis.一名32岁的患有正常血钾型甲状腺毒症性周期性麻痹的男性。
Malays J Med Sci. 2013 Jan;20(1):81-3.
3
Normokalemic thyrotoxic periodic paralysis with preserved reflexes- a unique case report.伴有保留反射的正常血钾型甲状腺毒症性周期性瘫痪——一例独特病例报告
J Clin Diagn Res. 2015 Feb;9(2):OD05-6. doi: 10.7860/JCDR/2015/11034.5538. Epub 2015 Feb 1.
4
An unrecognized cause of paralysis in ED: thyrotoxic normokalemic periodic paralysis.急诊科未被认识的瘫痪病因：甲状腺毒症性正常血钾性周期性瘫痪。
Am J Emerg Med. 2003 Jan;21(1):71-3. doi: 10.1053/ajem.2003.50005.
5
Thyrotoxic periodic paralysis: a case study and review of the literature.甲状腺毒症性周期性瘫痪：病例研究及文献综述
J Community Hosp Intern Med Perspect. 2017 Jun 6;7(2):103-106. doi: 10.1080/20009666.2017.1316906. eCollection 2017 Mar.
6
Analytic review: thyrotoxic periodic paralysis: a review.分析性综述：甲状腺毒症性周期性瘫痪：综述。
J Intensive Care Med. 2010 Mar-Apr;25(2):71-7. doi: 10.1177/0885066609358849. Epub 2010 Jan 19.
7
Thyrotoxic periodic paralysis: correct hypokalemia with caution.甲状腺毒症性周期性瘫痪：谨慎纠正低钾血症。
J Emerg Med. 2013 Sep;45(3):338-40. doi: 10.1016/j.jemermed.2012.11.107. Epub 2013 Jul 10.
8
Paralysis that easily reverses: a case of thyrotoxic periodic paralysis.易于逆转的麻痹：一例甲状腺毒症性周期性麻痹
BMJ Case Rep. 2017 Jan 30;2017:bcr2016218951. doi: 10.1136/bcr-2016-218951.
9
Thyrotoxic periodic paralysis and intravenous propranolol in the emergency setting.急诊情况下的甲状腺毒症性周期性瘫痪与静脉注射普萘洛尔
J Emerg Med. 2000 Feb;18(2):199-202. doi: 10.1016/s0736-4679(99)00194-8.
10
An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report.高钾性肾排钾率在甲状腺功能亢进周期性瘫痪患者中的非典型表现：病例报告。
BMC Nephrol. 2018 Jul 4;19(1):160. doi: 10.1186/s12882-018-0971-9.
引用本文的文献
1
Recurrent thyrotoxic periodic paralysis with normokalemia in a 36-year-old man: A case report.一名36岁男性复发性甲状腺毒症性低钾性周期性麻痹病例报告
Clin Case Rep. 2021 Sep 22;9(9):e04849. doi: 10.1002/ccr3.4849. eCollection 2021 Sep.
2
Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis.类卒中：一例单侧甲状腺毒症性低钾性周期性麻痹病例
Clin Pract Cases Emerg Med. 2020 Jan 24;4(1):75-78. doi: 10.5811/cpcem.2019.11.44966. eCollection 2020 Feb.
本文引用的文献
1
Normokalemic thyrotoxic periodic paralysis with preserved reflexes- a unique case report.伴有保留反射的正常血钾型甲状腺毒症性周期性瘫痪——一例独特病例报告
J Clin Diagn Res. 2015 Feb;9(2):OD05-6. doi: 10.7860/JCDR/2015/11034.5538. Epub 2015 Feb 1.
2
Mechanism of thyrotoxic periodic paralysis.甲状腺毒性周期性瘫痪的机制。
J Am Soc Nephrol. 2012 Jun;23(6):985-8. doi: 10.1681/ASN.2012010046. Epub 2012 Mar 29.
3
Complete heart block during potassium therapy in thyrotoxic periodic paralysis.甲状腺毒症性周期性麻痹患者在补钾治疗期间出现完全性心脏传导阻滞。
J Emerg Med. 2013 Jan;44(1):61-4. doi: 10.1016/j.jemermed.2011.05.090. Epub 2012 Jan 4.
4
Thyrotoxic periodic paralysis complicated by acute hypercapnic respiratory failure and ventricular tachycardia.甲状腺毒症性周期性瘫痪并发急性高碳酸血症性呼吸衰竭和室性心动过速。
Thyroid. 2008 Dec;18(12):1321-4. doi: 10.1089/thy.2008.0232.
5
Clinical review: Thyrotoxic periodic paralysis: a diagnostic challenge.临床综述：甲状腺毒症性周期性瘫痪：一项诊断挑战。
J Clin Endocrinol Metab. 2006 Jul;91(7):2490-5. doi: 10.1210/jc.2006-0356. Epub 2006 Apr 11.
6
Effects of potassium supplementation on the recovery of thyrotoxic periodic paralysis.补钾对甲状腺毒症性周期性麻痹恢复的影响。
Am J Emerg Med. 2004 Nov;22(7):544-7. doi: 10.1016/j.ajem.2004.09.016.
7
Propranolol rapidly reverses paralysis, hypokalemia, and hypophosphatemia in thyrotoxic periodic paralysis.普萘洛尔可迅速逆转甲状腺毒症性周期性瘫痪中的麻痹、低钾血症和低磷血症。
Am J Kidney Dis. 2001 Mar;37(3):620-3.
8
Thyrotoxic periodic paralysis in the United States. Report of 7 cases and review of the literature.美国的甲状腺毒症性周期性瘫痪。7例报告及文献复习
Medicine (Baltimore). 1992 May;71(3):109-20. doi: 10.1097/00005792-199205000-00001.
Zotero 插件