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.
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。
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