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KMID : 0882419930440010042
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Korean Journal of Medicine
1993 Volume.44 No. 1 p.42 ~ p.48
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A Clinical Study of the Thyrotoxic Hypokalemic Periodic Paralysis
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이순구
김성숙/정민수/송치운/윤상임/성기양/이강욱/신영태/노흥규
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Abstract
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ckground : thyrotoxic hypokalemic periodic paralysis is a well recognized complication of hyperthyroidism in mainly Oriental men, and in association with hypokalemia and flaccid type paralysis of legs.
Method : nine patients with thyrotoxic hypokalemic periodic paralysis have been studied
retrospectively by the authors at the Chungnam National University Hospital from Jan 1989 to
Mar 1992 for the evaluation of clinical characteristcs.
Results :
1) all patients were males aged 31.3±5.9 (range 23∼42) years old.
2) the average serum potassium level during paralysis was 1.82±0.25 (range 1.49∼
2.33)mmol/L.
3) attacks of paralysis occurred at night and early morning.
4)the precipitating factors were severe exercise, overeating, alcohol drinking, and infection.
5) the attacks of paralysis usually disappeared after effective treatment with potassium salt
and antithyroid drug.
Conclusion : we thought that meticulous attention should be paid for hypokalemia and
thyrotoxicosis in young patients with hisory of periodic paralysis.
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KEYWORD
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