Hosamani Pooja, Babar Shrikant, Raval Ravi, Solanke Nilesh, Sawant Tejashree, Hoogar Purushottam
Department of OBGY, GMCH Miraj, Room No. 215 New IHR Hostel, GMC Miraj Campus, Miraj, Maharashtra 416410 India.
Department of OBGY, Dr. Vaishampayan Memorial Govt Medical College, Solapur, Maharashtra India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):635-637. doi: 10.1007/s13224-024-02068-3. Epub 2024 Nov 22.
Hypokalemic quadriparesis is a rare, potentially life-threatening condition characterized by hypokalemia and acute systemic weakness. It results from altered potassium distribution and depletion from renal and extra-renal losses. Management depends on the etiology, duration, underlying diseases, family history, medication history and disease state. Here we present a case of 24-year-old multigravida at 20 weeks of pregnancy, presented with history multiple episodes of vomiting and all four limbs weakness. On primary laboratory test, patient was analyzed to have hypokalemic quadriparesis and treated with intravenous potassium chloride that resulted in biochemical and clinical improvement and pregnancy continued.
低钾性四肢麻痹是一种罕见的、可能危及生命的疾病,其特征为低钾血症和急性全身性无力。它是由钾分布改变以及肾脏和肾外钾流失导致的钾耗竭引起的。治疗取决于病因、病程、基础疾病、家族史、用药史和疾病状态。在此,我们报告一例24岁、孕20周的多产妇,有多次呕吐史及四肢无力。初步实验室检查显示患者患有低钾性四肢麻痹,经静脉输注氯化钾治疗后生化指标和临床症状改善,妊娠得以继续。