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伴有格雷夫斯病的甲状腺毒症性周期性瘫痪:一例报告

Thyrotoxic Periodic Paralysis With Graves' Disease: A Case Report.

作者信息

Thomas Abin, Baby Bilha, Joy Selin C, T P Sreekrishnan, K P Gireesh Kumar

机构信息

Emergency Medicine, Amrita Institute of Medical Sciences, Ernakulam, IND.

Department of Pharmacy Practice, Amrita School of Pharmacy, Kochi, IND.

出版信息

Cureus. 2024 Nov 7;16(11):e73223. doi: 10.7759/cureus.73223. eCollection 2024 Nov.

DOI:10.7759/cureus.73223
PMID:39650991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624895/
Abstract

One type of hypokalemic periodic paralysis that is associated with hyperthyroidism is called thyrotoxic periodic paralysis (TPP). TPP can be linked to any cause of hyperthyroidism, although Graves' disease is the most common cause. This sporadic variant of hypokalaemic periodic paralysis, thyrotoxic periodic paralysis, is characterized by rapid onset weakness in the proximal muscles. Due to their similar presentations, it is sometimes mistaken for familial periodic paralysis (FPP); however, biochemical tests and the presence of thyrotoxic characteristics can help distinguish the two conditions. Treatment options for this reversible illness include rapid potassium replacement and thyroid hormone normalization. To mitigate this potentially fatal complication, knowledge regarding the identification, prompt treatment, and avoidance of future episodes of TPP is crucial.

摘要

一种与甲状腺功能亢进相关的低钾性周期性麻痹称为甲状腺毒症性周期性麻痹(TPP)。TPP可与任何甲状腺功能亢进病因相关,尽管格雷夫斯病是最常见的病因。这种低钾性周期性麻痹的散发性变体,即甲状腺毒症性周期性麻痹,其特征是近端肌肉迅速出现无力。由于它们的表现相似,有时会被误诊为家族性周期性麻痹(FPP);然而,生化检查和甲状腺毒症特征的存在有助于区分这两种情况。这种可逆性疾病的治疗选择包括快速补钾和甲状腺激素正常化。为了减轻这种潜在的致命并发症,了解TPP的识别、及时治疗以及避免未来发作的知识至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a71d/11624895/24a14eee5274/cureus-0016-00000073223-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a71d/11624895/24a14eee5274/cureus-0016-00000073223-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a71d/11624895/24a14eee5274/cureus-0016-00000073223-i01.jpg

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本文引用的文献

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Atypical Normokalemic Case of Thyrotoxic Periodic Paralysis in a Pediatric Patient.一名儿科患者的非典型正常血钾型甲状腺毒症周期性瘫痪病例。
Cureus. 2024 Apr 2;16(4):e57467. doi: 10.7759/cureus.57467. eCollection 2024 Apr.
2
Thyrotoxic Periodic Paralysis, an Unusual Presentation of Paralysis After Spinal Surgery: A Case Report.甲状腺毒症性周期性瘫痪,脊柱手术后瘫痪的一种罕见表现:病例报告
Cureus. 2024 Mar 8;16(3):e55822. doi: 10.7759/cureus.55822. eCollection 2024 Mar.
3
A rare case of thyrotoxic periodic paralysis revealing Graves' disease in a young Malian.
一名年轻马里人身上罕见的甲状腺毒症性周期性麻痹病例揭示了格雷夫斯病。
Clin Case Rep. 2024 Feb 22;12(2):e8527. doi: 10.1002/ccr3.8527. eCollection 2024 Feb.
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Thyrotoxic periodic paralysis presenting with quadriparesis and hyperreflexia.甲状腺毒症性周期性瘫痪伴四肢瘫痪和反射亢进。
BMJ Case Rep. 2023 Dec 30;16(12):e256550. doi: 10.1136/bcr-2023-256550.
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Graves' Disease With Initial Presentation of Thyrotoxic Periodic Paralysis.以甲状腺毒症性周期性麻痹为首发表现的格雷夫斯病
Cureus. 2023 Nov 27;15(11):e49524. doi: 10.7759/cureus.49524. eCollection 2023 Nov.
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A Thyrotoxic Periodic Paralysis Case Study: From Weakness to Wellness.一例甲状腺毒症性周期性麻痹病例研究:从虚弱到康复
Cureus. 2023 Oct 27;15(10):e47820. doi: 10.7759/cureus.47820. eCollection 2023 Oct.
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Thyrotoxic periodic paralysis: a rare cause of periodic paralysis - a case report.甲状腺毒症性周期性瘫痪:周期性瘫痪的罕见病因——病例报告
Ann Med Surg (Lond). 2023 Mar 25;85(4):931-933. doi: 10.1097/MS9.0000000000000105. eCollection 2023 Apr.
8
New Challenges Resulting From the Loss of Function of Na1.4 in Neuromuscular Diseases.神经肌肉疾病中Na1.4功能丧失引发的新挑战。
Front Pharmacol. 2021 Oct 4;12:751095. doi: 10.3389/fphar.2021.751095. eCollection 2021.
9
Impact of first-line treatment choice on long-term outcomes of hyperthyroid Graves' disease patients with thyrotoxic periodic paralysis.一线治疗选择对伴有甲状腺毒症性周期性麻痹的甲状腺功能亢进型格雷夫斯病患者长期预后的影响
J Clin Transl Endocrinol. 2020 Sep 2;21:100235. doi: 10.1016/j.jcte.2020.100235. eCollection 2020 Sep.
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