-
Case Report
-
Korean J Med. 2015;88(4):442-446. Published online April 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.4.442
- 고칼륨혈증 주기성 마비로 나타난 무통성 갑상선염 동반 애디슨병 1예
-
고명주1, 서혜미2, 김영욱2, 김성택2, 이상아2, 유원상3, 김소미2
-
1제주대학교 의학전문대학원 제주대학교병원 영상의학과
2제주대학교 의학전문대학원 제주대학교병원 내과
3단국대학교 의과대학 내과학교실
- A Case of Addison’s Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis
-
Myeong Ju Koh1, Hye Mi Seo2, Young Uck Kim2, SeongTeag Kim2, Sang-A Lee2, Won Sang Yoo3, So Mi Kim2
-
1Departments of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
2Departments of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
3Department of Internal Medicine, Dankook University Medical College, Cheonan, Korea
- Corresponding author: So Mi Kim ,Tel: +82-64-717-1400, Fax: +82-64-717-1402, Email: zhidao79@naver.com
- Received: September 24, 2014; Revised: October 25, 2014 Accepted: December 26, 2014.
- 고칼륨혈증성 주기성 마비는 매우 드물지만 애디슨병과 연관되어 나타날 수 있는 치명적 합병증이다. 애디슨병은 임상증상이 점진적으로 나타나고 비특이적이어서 진단이 늦어지는 경우가 많아 고칼륨혈증, 저나트륨혈증과 같은 전해질 이상, 피부나 점막 등의 색소침착, 과거 결핵력 등을 면밀히 살피는 것이 중요하며 급성 부신기능저하가 발생한 경우에는 반드시 유발인자 유무를 감별해야 하겠다.
߽ɾ :애디슨병; 고칼륨혈증 주기성 마비; 갑상선중독증
- Abstract
- In cases of hyperkalemia with preserved renal function, the differential diagnoses that should be considered are drug-related disorders, primary tubular disease, and hormonal diseases including primary adrenal insufficiency. Addison’s disease represents a rare disorder characterized by primary adrenal failure, general weakness, poor appetite, nausea, dizziness, and hyperpigmentation. It may also cause fatal adrenal crisis, involving hypotension, loss of consciousness, hyperkalemia, or hyperkalemic periodic paralysis under stressful conditions. We describe herein the case of a 54-year-old Korean male who developed Addison’s disease, due to adrenal tuberculosis, in addition to painless thyroiditis, which led to hyperkalemic periodic paralysis.
Keywords :Addison disease, Hyperkalemic periodic paralysis, Hyperthyroidism
