A Case of Thyrotoxic Periodic Paralysis in Adolescent with Graves' Disease / 대한소아내분비학회지
Journal of Korean Society of Pediatric Endocrinology
; : 196-200, 2011.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-92206
Biblioteca responsável:
WPRO
ABSTRACT
Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism characterized by recurrent paralysis of skeletal muscle and hypokalemia caused by a massive intracellular shift of potassium. TPP mainly affects young male patients of Asian descent. We describe a case of TPP in a 14-year-old girl who presented with palpitation and intermittent weakness of the lower extremities especially after physical exercises. The patient showed sinus tachycardia, proximal weakness of both legs and a severe hypokalemia. Thyroid function tests showed hyperthyroidism, and thyroid scan revealed diffusely enlarged goiter consistent with Graves' disease. After the management with antithyroid drug, beta-adrenergic blocker and potassium supplementation for TPP, she has remained euthyroid state and symptom free on the follow-up. TPP should be considered in children with acute paralysis of skeletal muscle and hypokalemia, also thyroid function should be evaluated.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paralisia
/
Potássio
/
Testes de Função Tireóidea
/
Glândula Tireoide
/
Taquicardia Sinusal
/
Exercício Físico
/
Doença de Graves
/
Seguimentos
/
Músculo Esquelético
/
Paralisia Periódica Hipopotassêmica
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adolescente
/
Criança
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Korean Society of Pediatric Endocrinology
Ano de publicação:
2011
Tipo de documento:
Artigo