Severe Hypokalemia and Thyrotoxic Paralysis from Painless Thyroiditis Complicated by Life-threatening Polymorphic Ventricular Tachycardia and Rhabdomyolysis

被引：10

作者：

Chang, Kyung Yoon ^{[1
]}

Lee, Su-Hyun ^{[1
]}

Park, Hoon Suk ^{[1
]}

Ko, Sun-Hee ^{[2
]}

Ahn, Yu-Bae ^{[2
]}

Kim, Hyung Wook ^{[1
]}

机构：

[1] Catholic Univ Korea, St Vincents Hosp, Div Nephrol, Dept Internal Med, Seoul, South Korea

[2] Catholic Univ Korea, St Vincents Hosp, Div Endocrinol, Dept Internal Med, Seoul, South Korea

来源：

INTERNAL MEDICINE | 2014年 / 53卷 / 16期

关键词：

hypokalemia; painless thyroiditis; polymorphic ventricular tachycardia; rhabdomyolysis; thyrotoxic paralysis; RELEASE;

D O I：

10.2169/internalmedicine.53.2419

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old man presented with lower extremity paralysis and severe hypokalemia. His thyroid function test showed thyrotoxicosis. Despite attempts to correct his hypokalemia, he developed pulseless polymorphic ventricular tachycardia two hours later. He was successfully resuscitated after defibrillation. We performed continuous venovenous hemodiafiltration for 10 days due to acute kidney injury and rhabdomyolysis. We observed life-threatening polymorphic ventricular tachycardia requiring urgent defibrillation, as well as rhabdomyolysis requiring dialysis during the transient thyrotoxic phase of painless thyroiditis. Pay attention to the possibility of the development of life-threatening ventricular tachycardia associated with hypokalemia in the setting of thyroiditis and thyrotoxic paralysis.

引用

页码：1805 / 1808

页数：4

共 14 条

[1] Graves' Disease Complicated by Ventricular Fibrillation in Three Men Who Were Smokers [J].