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本文引用的文献

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Antithyroid Drugs.抗甲状腺药物
Iran J Pharm Res. 2019 Fall;18(Suppl1):1-12. doi: 10.22037/ijpr.2020.112892.14005.
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.
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Case records of the Massachusetts General Hospital. Case 4-2012. A 37-year-old man with muscle pain, weakness, and weight loss.马萨诸塞州总医院病例记录。病例4 - 2012。一名37岁男性，伴有肌肉疼痛、无力和体重减轻。
N Engl J Med. 2012 Feb 9;366(6):553-60. doi: 10.1056/NEJMcpc1110051.
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Hormonal and pharmacological modification of plasma potassium homeostasis.血浆钾稳态的激素和药理学调节。
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Thyrotoxic periodic paralysis.甲状腺毒症性周期性瘫痪
Proc (Bayl Univ Med Cent). 2006 Apr;19(2):126-9. doi: 10.1080/08998280.2006.11928143.
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Thyrotoxic periodic paralysis.甲状腺毒症性周期性瘫痪
Mayo Clin Proc. 2005 Jan;80(1):99-105. doi: 10.1016/S0025-6196(11)62965-0.
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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.
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Vasodilatory mechanisms in contracting skeletal muscle.收缩骨骼肌中的血管舒张机制。
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9
Thyrotoxic periodic paralysis terminated with intravenous propranolol.静脉注射普萘洛尔使甲状腺毒症性周期性麻痹得以终止。
Ann Emerg Med. 1994 Oct;24(4):736-40. doi: 10.1016/s0196-0644(94)70286-1.
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Thyrotoxic periodic paralysis. Report of 10 cases and review of electromyographic findings.
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复发性难治性低钾血症作为急性肾损伤和疑似吉兰-巴雷综合征患者甲状腺毒症性周期性麻痹的诊断线索。

Recurrent, refractory hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis in a patient with acute kidney injury and suspected Guillain-Barre syndrome.

作者信息

Pattan Vishwanath, Chiu Ken C, Samoa Raynald

机构信息

Division of Endocrinology Wyoming Medical Center Casper WY USA.

Department of Clinical Diabetes, Endocrinology, and Metabolism Diabetes and Metabolism Research Institute City of Hope National Medical Center Duarte CA USA.

出版信息

Clin Case Rep. 2021 Jun 22;9(6):e04443. doi: 10.1002/ccr3.4443. eCollection 2021 Jun.

DOI:10.1002/ccr3.4443
PMID:34188930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218316/
Abstract

When clinical presentation is atypical, especially in a non-Asian population, the finding of recurrent and refractory hypokalemia can serve as a key diagnostic clue for timely diagnoses and management of thyrotoxic periodic paralysis. In suspected cases, complete thyroid laboratory panel should be measured so that T3 toxicosis is not missed.

摘要

当临床表现不典型时，尤其是在非亚洲人群中，反复出现且难治性低钾血症的发现可作为及时诊断和治疗甲状腺毒症性周期性麻痹的关键诊断线索。对于疑似病例，应进行完整的甲状腺实验室检查，以免漏诊T3中毒。