Aprinda Devani Bagus, Suryantoro Satriyo Dwi
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Kaliwates General Hospital, Jember, Indonesia.
Ann Med Surg (Lond). 2022 Aug 4;80:104329. doi: 10.1016/j.amsu.2022.104329. eCollection 2022 Aug.
Familial hypokalemic periodic paralysis (FHPP) is rare, so its management is essential to report.
A 25-year-old Indonesian woman complained of feeling weak in both hands and legs, but the heaviest in both legs. The patient has several family members with similar complaints. The patient experienced decreased muscle strength in the upper extremity of 4/4 and the lower extremity of 3/3. Laboratory investigation showed potassium of 2.0 mmol/L, and the patient was given KCL of 50 mEq/24 hours, KSR of 3 × 600 mg/24 hours for 3 days, and a high potassium diet. The next few days, potassium levels increased, and the patient was treated as an outpatient.
Early diagnosis and management of acute flaccid paralysis (AFP) due to FHPP are very effective in low-resource settings.
Finding the cause of AFP is essential for better management.
家族性低钾性周期性麻痹（FHPP）较为罕见，因此报告其治疗情况至关重要。
一名25岁的印度尼西亚女性主诉双手和双腿无力，尤以双腿最为严重。该患者有几名家庭成员也有类似症状。患者上肢肌力下降至4/4，下肢肌力下降至3/3。实验室检查显示血钾为2.0 mmol/L，给予患者24小时静脉输注50 mEq氯化钾、连续3天每天口服3次每次600 mg枸橼酸钾，并采用高钾饮食。接下来的几天里，血钾水平上升，患者转为门诊治疗。
在资源匮乏地区，对FHPP所致急性弛缓性麻痹（AFP）进行早期诊断和治疗非常有效。
找出AFP的病因对于更好地治疗至关重要。
