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A case of type 2 diabetes manifested by hypokalemic periodic paralysis / 대한내과학회지
Korean Journal of Medicine ; : 499-501, 2009.
Artículo en Coreano | WPRIM | ID: wpr-183144
ABSTRACT
Hypokalemic periodic paralysis may be precipitated by stress, rest after exercise, or events that lower serum potassium levels, such as carbohydrate ingestion or the use of insulin or diuretics. In healthy subjects, insulin activates Na+/K+ ATPase, which elicits potassium influx and transient hypokalemia; however, hypokalemia is compensated by K+ ATP channel activation. Recently, we encountered a 49-year-old male patient with type 2 diabetes mellitus and hyperinsulinemic hypokalemic periodic paralysis. The patient had no family history of muscle weakness or diabetes mellitus. At the time of the attack, plasma glucose was 142.4 mg/dL, plasma insulin was 116.86 micronIU/mL, serum potassium was 2.08 mEq/L, and thyroid hormone, renin, aldosterone, ACTH, and cortisol levels were normal. Symptoms improved rapidly upon potassium replacement. Oral glucose tolerance testing revealed high glucose and insulin levels at 2 h, and serum potassium and phosphate levels decreased from 5.1 to 4 mEq/L and 3.6 to 2.0 mg/dL, respectively.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Plasma / Potasio / Glándula Tiroides / Hidrocortisona / Adenosina Trifosfato / Renina / Adenosina Trifosfatasas / Hormona Adrenocorticotrópica / Debilidad Muscular / Parálisis Periódica Hipopotasémica Límite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Medicine Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Plasma / Potasio / Glándula Tiroides / Hidrocortisona / Adenosina Trifosfato / Renina / Adenosina Trifosfatasas / Hormona Adrenocorticotrópica / Debilidad Muscular / Parálisis Periódica Hipopotasémica Límite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Medicine Año: 2009 Tipo del documento: Artículo