[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.
Département urgence anesthésie et réanimation, hôpital d'instruction des Armées Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France. o.eve@netcourrier.com
O
O
Eve
J-L
JL
Soubirou
L
L
Crevon
J-Y
JY
Martinez
J
J
Escarment
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