갑상샘 중독 주기적 마비로 응급실에 내원한 환자의 임상적 고찰 = Clinical Study of Thyrotoxic PeriodicParalysis in the Emergency Department

다국어 초록 (Multilingual Abstract)

P u r p o s e: Thyrotoxic periodic paralysis (TPP) is not an
uncommon disorder in patient with acute muscle weakness
in the emergency department. However, many patients with
TPP are misdiagnosed, leading to improper treatment. So,
we analyze the clinical characteristics of TPP to make diagnosis
and treatment properly.
M e t h o d s: The medical records of the patients confirmed as
TPP by using thyroid function test from January 1998 to
December 2002 were reviewed retrospectively.
R e s u l t s: TPP occurs predominantly in males, especially
young males, during dawn or morning. It’s predisposing
factors were heavy meals, physical exertion and alcohol
drinking. Most patients were hypokalemic and in a normal
acid-base state. Systolic hypertension and tachycardia
were common in TPP because of the hyperadrenergic
state. When hyperthyroidism was conversed to normal thyroid
state, paralysis did not occur.
C o n c l u s i o n: There were several clinical clues to the diagnosis
of TPP. Rapid and accurate diagnosis of TPP is
important, so emergency physicians must know its clinical
c h a r a c t e r i s t i c s .

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