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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(4):392-395.
Induced Life-Threatening Electrolyte Imbalance in Sub-clinical Hyperthyroidism -A case report-.
Kim, Jong Moon , Lee, Jeong Mo , Kim, Seok Ju , Kho, Sung Eun , Chung, Jin Sang , Bang, Heui Je
1Department of Rehabilitation Medicine, College of Medicine, Konkuk University, Korea. ljmgooddc@yahoo.co.kr
2Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University, Korea.
무증상 갑상선 기능 항진증에서 발생된 갑상선 중독성 주기적 마비 1예⁣증례 보고⁣
김종문, 이정모, 김석주, 고성은, 정진상, 방희제1
건국대학교 의과대학 재활의학교실, 1충북대학교 의과대학 재활의학교실
Abstract
Thyrotoxic periodic paralysis (TPP) is rare in white Caucasian but a few in Asian. A 36-year-old man presented with suddenly developed paraparesis was brought by ambulance. He got some medications and injection for the upper respiratory infection in the morning of admission day. On admission he revealed bilateral proximal muscle weakness without pain. He didn't have any specific medical history of himself and his family. The laboratory results on admission revealed severe hypokalemia (2.1 mM/l). Potassiumreplacement was immediately started and his symptom was gone. We found TSH was extremely decreased (<0.005μIU/ ml) but T3 and T4 were within normal level. We guess TPP was induced by some drugs to the patient with sub-clinical hyperthyroidism. Hyperthyroidism is not always clinically apparent and then may be easily missed. However just a single medication or injection that is usually prescribed can induce critical progressive hypokalemia. (J Korean Acad Rehab Med 2004; 28: 392-395)
Key Words: Thyrotoxic periodic paralysis, Subclinical hyperthyroidism, Hypokalemia
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