[Hypokalaemic paralysis disclosing hyperthyroidism].
Thyrotoxic hypokaliaemic paralysis is a rare cause of severe hypokalaemia. We report the case of a 34-year-old Asiatic man who presented in our emergency department an episode of quadriplegia due to low plasma potassium levels. Biological test discovered a Basedow disease, confirmed thyrotoxic paralysis. Intravenously potassium treatment allowed complete recovery from paralysis. Also, the patient received specific medical treatment with antithyroid drugs and propranolol.
Eve
O
O
Département urgence anesthésie et réanimation, hôpital d'instruction des Armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France. o.eve@netcourrier.com
Soubirou
J-L
JL
Crevon
L
L
Martinez
J-Y
JY
Escarment
J
J
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D013956:Antithyroid Agents / Q000627:therapeutic use; D006111:Graves Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007008:Hypokalemia / Q000150:complications* / Q000188:drug therapy; D008297:Male; D010243:Paralysis / Q000188:drug therapy / Q000209:etiology*; D011188:Potassium / Q000097:blood / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use
D000319:Adrenergic beta-Antagonists; D013956:Antithyroid Agents; D011433:Propranolol; D011188:Potassium