Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Health Residencies Journal (HRJ) |
Texto Completo: | https://escsresidencias.emnuvens.com.br/hrj/article/view/255 |
Resumo: | Objective: To describe the clinical picture of a 35-year-old patient who presented with hypokalemic periodic paralysis due to thyrotoxicosis, followed by cardiac arrhythmia in anemergency room. The patient had no previous diagnosis of hyperthyroidism. Case report: Male patient, x years, with no previous diagnosis of hyperthyroidism, was admitted to the emergency room with flaccid tetraparesis. Five hours after admission, he developed sudden worsening of symptoms and unstable supraventricular tachycardia due to hypokalemia. The condition was reversed and, one month after the episode, he presented a new condition of paresisin the lower limbs, when he was diagnosed with hypokalemic periodic paralysis due to thyrotoxicosis. Conclusion: The fast identification of thyrotoxic hypokalemic periodic paralysis is of fundamental importance, as the patient may have an unfavorable evolution, with imminent risk of death. Improvement occurs after correction of hypokalemia, which must be promptly identified. |
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Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case reportParalisia periódica tireotóxica hipocalêmica com arritmia cardíaca: relato de casoParalisia periódica hipocalêmica tireotóxica; Tireotoxicose; Hipocalemia; Hipertireoidismo; BócioThyrotoxic hypokalemic periodic paralysis, Thyrotoxicosis; Hypokalemia; Hyperthyroidism; GoiterObjective: To describe the clinical picture of a 35-year-old patient who presented with hypokalemic periodic paralysis due to thyrotoxicosis, followed by cardiac arrhythmia in anemergency room. The patient had no previous diagnosis of hyperthyroidism. Case report: Male patient, x years, with no previous diagnosis of hyperthyroidism, was admitted to the emergency room with flaccid tetraparesis. Five hours after admission, he developed sudden worsening of symptoms and unstable supraventricular tachycardia due to hypokalemia. The condition was reversed and, one month after the episode, he presented a new condition of paresisin the lower limbs, when he was diagnosed with hypokalemic periodic paralysis due to thyrotoxicosis. Conclusion: The fast identification of thyrotoxic hypokalemic periodic paralysis is of fundamental importance, as the patient may have an unfavorable evolution, with imminent risk of death. Improvement occurs after correction of hypokalemia, which must be promptly identified.Objetivo: Descrever o quadro clínico de um paciente de 35 anos que apresentou paralisia periódica hipocalêmica por tireotoxicose, seguida de arritmia cardíaca em serviço de pronto socorro. O paciente não tinha diagnóstico prévio de hipertireoidismo. Relato do caso: Paciente masculino, 35 anos, sem diagnóstico prévio de hipertireoidismo, deu entrada no pronto atendimento com quadro de tetraparesia flácida. Após 5 horas da admissão evoluiu com piora súbita e de taquicardia supraventricular instável por hipocalemia. O quadro foi revertido e, um mês após o episódio, apresentou novo quadro de paresia em membros inferiores, quando foi diagnosticado com paralisia periódica hipocalêmica por tireotoxicose. Conclusão: A identificação rápida da paralisia periódica hipocalêmica tireotóxica é de fundamental importância, pois o paciente pode evoluir de forma desfavorável, com risco iminentede morte. A melhora ocorre após a correção da hipocalemia, que deve ser prontamente identificada. Escola Superior de Ciências da Saúde2022-07-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://escsresidencias.emnuvens.com.br/hrj/article/view/25510.51723/hrj.v3i16.255Health Residencies Journal - HRJ; v. 3 n. 16 (2022): Acompanhamento e avaliação do desenvolvimento infantil - Eixos referenciais para todas as atividades de atenção à criança e ao adolescente sob os aspectos biológico, afetivo, psíquico e social; 1-102675-2913reponame:Health Residencies Journal (HRJ)instname:Escola Superior de Ciências da Saúde (ESCS)instacron:ESCSporhttps://escsresidencias.emnuvens.com.br/hrj/article/view/255/367Copyright (c) 2022 Anamaria de Araujo Falcão Amaral, Bruno Beust Quint, Pedro Almeida Martins Pontes, Tania Renata Lopes Falcãohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Araujo Falcão Amaral, AnamariaBeust Quint, Bruno Almeida Martins Pontes, Pedro Lopes Falcão, Tania Renata 2023-03-06T11:06:39Zoai:ojs.emnuvens.com.br:article/255Revistahttps://escsresidencias.emnuvens.com.br/hrjPUBhttps://escsresidencias.emnuvens.com.br/hrj/oaihrj@escs.edu.br || vanessacampos@escs.edu.br2675-29132675-2913opendoar:2023-03-06T11:06:39Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS)false |
dc.title.none.fl_str_mv |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report Paralisia periódica tireotóxica hipocalêmica com arritmia cardíaca: relato de caso |
title |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
spellingShingle |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report de Araujo Falcão Amaral, Anamaria Paralisia periódica hipocalêmica tireotóxica; Tireotoxicose; Hipocalemia; Hipertireoidismo; Bócio Thyrotoxic hypokalemic periodic paralysis, Thyrotoxicosis; Hypokalemia; Hyperthyroidism; Goiter |
title_short |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
title_full |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
title_fullStr |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
title_full_unstemmed |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
title_sort |
Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report |
author |
de Araujo Falcão Amaral, Anamaria |
author_facet |
de Araujo Falcão Amaral, Anamaria Beust Quint, Bruno Almeida Martins Pontes, Pedro Lopes Falcão, Tania Renata |
author_role |
author |
author2 |
Beust Quint, Bruno Almeida Martins Pontes, Pedro Lopes Falcão, Tania Renata |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
de Araujo Falcão Amaral, Anamaria Beust Quint, Bruno Almeida Martins Pontes, Pedro Lopes Falcão, Tania Renata |
dc.subject.por.fl_str_mv |
Paralisia periódica hipocalêmica tireotóxica; Tireotoxicose; Hipocalemia; Hipertireoidismo; Bócio Thyrotoxic hypokalemic periodic paralysis, Thyrotoxicosis; Hypokalemia; Hyperthyroidism; Goiter |
topic |
Paralisia periódica hipocalêmica tireotóxica; Tireotoxicose; Hipocalemia; Hipertireoidismo; Bócio Thyrotoxic hypokalemic periodic paralysis, Thyrotoxicosis; Hypokalemia; Hyperthyroidism; Goiter |
description |
Objective: To describe the clinical picture of a 35-year-old patient who presented with hypokalemic periodic paralysis due to thyrotoxicosis, followed by cardiac arrhythmia in anemergency room. The patient had no previous diagnosis of hyperthyroidism. Case report: Male patient, x years, with no previous diagnosis of hyperthyroidism, was admitted to the emergency room with flaccid tetraparesis. Five hours after admission, he developed sudden worsening of symptoms and unstable supraventricular tachycardia due to hypokalemia. The condition was reversed and, one month after the episode, he presented a new condition of paresisin the lower limbs, when he was diagnosed with hypokalemic periodic paralysis due to thyrotoxicosis. Conclusion: The fast identification of thyrotoxic hypokalemic periodic paralysis is of fundamental importance, as the patient may have an unfavorable evolution, with imminent risk of death. Improvement occurs after correction of hypokalemia, which must be promptly identified. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/255 10.51723/hrj.v3i16.255 |
url |
https://escsresidencias.emnuvens.com.br/hrj/article/view/255 |
identifier_str_mv |
10.51723/hrj.v3i16.255 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/255/367 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
dc.source.none.fl_str_mv |
Health Residencies Journal - HRJ; v. 3 n. 16 (2022): Acompanhamento e avaliação do desenvolvimento infantil - Eixos referenciais para todas as atividades de atenção à criança e ao adolescente sob os aspectos biológico, afetivo, psíquico e social; 1-10 2675-2913 reponame:Health Residencies Journal (HRJ) instname:Escola Superior de Ciências da Saúde (ESCS) instacron:ESCS |
instname_str |
Escola Superior de Ciências da Saúde (ESCS) |
instacron_str |
ESCS |
institution |
ESCS |
reponame_str |
Health Residencies Journal (HRJ) |
collection |
Health Residencies Journal (HRJ) |
repository.name.fl_str_mv |
Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS) |
repository.mail.fl_str_mv |
hrj@escs.edu.br || vanessacampos@escs.edu.br |
_version_ |
1797051239325761536 |