THYROTOXIC PERIODIC PARALYSIS AND CHOREA: TWO UNCOMMON NEUROMUSCULAR COMPLICATIONS AS PRESENTING SYMPTOMS IN AN ADOLESCENT WITH NEWLY DIAGNOSED GRAVES' DISEASE: A CASE REPORT

被引：0

作者：

Nakavachara, Pairunyar ^{[1
]}

Suppakrucha, Montira ^{[1
]}

Patjamontri, Supitcha ^{[1
]}

Likasitwattanakul, Surachai ^{[2
]}

机构：

[1] Mahidol Univ, Siriraj Hosp, Fac Med, Div Pediat Endocrinol, Bangkok, Thailand

[2] Mahidol Univ, Siriraj Hosp, Fac Med, Div Pediat Neurol,Dept Pediat, 2 Wanglang Rd, Bangkok 10700, Thailand

来源：

SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH | 2017年 / 48卷

关键词：

Graves' disease; periodic paralysis; chorea; adolescent; HYPERTHYROID-INDUCED CHOREA; ASSOCIATION;

D O I：

暂无

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Thyrotoxic periodic paralysis (TPP) and chorea are uncommon neurological complications of hyperthyroidism. Here, we report and describe a case of 14-year-old boy who presented with both TPP and chorea at his initial presentation with signs and symptoms of Graves' disease. After diagnosis, a combination of methimazole (MMI) and propranolol were started to control hyperthyroidism. TPP resolved completely within 48 hours after hypokalemia was corrected with potassium supplementation. Chorea gradually resolved over a period of 4 weeks. The pathogenesis of TPP and chorea in hyperthyroidism was reviewed herein. In addition, this report highlights a clinical importance for awareness of these neurological complications in children with hyperthyroidism, since they may be the only presenting symptoms of hyperthyroidism and could be confusing with the diagnosis of genuine neuromuscular disorders.

引用

页码：298 / 301

页数：4

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