Vague J, Angeletti S, Combes R, Pellissier J F, Lestrade P, Mercier P
Ann Endocrinol (Paris). 1979 Jul-Aug;40(4):417-8.
Boy 19, french -- Attacks of hypokaliemic flaccid tetraplegia in 1972 -- 4 months later thyreotoxicosis -- Disappearance of neurologic symptoms and euthyroid condition after carbimazole. Relapse 5 years later of concomitant thyreotoxicosis, hypokaliemic tetraplegia attacks and lower limbs myalgias. Normal conventional and enzymatic light histology of quadriceps. Anomalies of membraneous system (T system and sarcoplasmic reticulum) on electron microscopy -- subtotal thyroidectomy -- hormonal and neurologic total recovery. Caucasoid erythrocyte and HLA groups.
19岁男孩,法国人——1972年出现低钾性弛缓性四肢瘫发作——4个月后出现甲状腺毒症——服用卡比马唑后神经症状消失且甲状腺功能正常。5年后甲状腺毒症、低钾性四肢瘫发作和下肢肌痛复发。股四头肌常规和酶组织学检查正常。电子显微镜检查显示膜系统(T管系统和肌浆网)异常——甲状腺次全切除术——激素和神经功能完全恢复。白种人红细胞及HLA分型。