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ACUTE HYPOKALEMIC PARALYSIS AND HASHIMOTO'S THYROIDITIS Rafiq Ullah, Awais Naeem, Fahad Naim, Qasim Zia, Omama Humayun
Author(s):
1. Rafiq Ullah: Department of Medicine, MTI, Khyber Teaching Hospital,Peshawar, Pakistan
2. Awais Naeem: Department of Medicine, MTI, Khyber Teaching Hospital,Peshawar, Pakistan
3. Fahad Naim: Department of Medicine, MTI, Khyber Teaching Hospital,Peshawar, Pakistan
4. Qasim Zia: Department of Medicine, MTI, Khyber Teaching Hospital,Peshawar, Pakistan
5. Omama Humayun: Department of Medicine, MTI, Khyber Teaching Hospital,Peshawar, Pakistan
Abstract:
Acute hypokalemic paralysis (AHP) is a life-threatening emergency. It is exceptionally unusual for hypothyroidism to present with AHP. This association can be either primary or secondary through distal renal tubular acidosis. We report two cases who presented with acute quadriplegia. The succeeding investigations revealed severe hypokalemia and autoimmune hypothyroidism. The second case was found to have Sjogren's syndrome additionally. The underlying aetiology of hypokalemia in both cases was found to be dRTA. The combination of such conditions is reported sporadically. Here we also discuss the potential association of AHP with autoimmune conditions by proxy through dRTA.
Page(s): 864-868
Published: Journal: Journal of Ayub Medical College, Volume: 34, Issue: 4, Year: 2022
Keywords:
dRTA , Hypothyroidism , Paralysis , Distal renal tubular acidosis , Acute hypokalemic paralysis
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