Severe Hypokalemia and Thyrotoxic Paralysis from Painless Thyroiditis Complicated by Life-threatening Polymorphic Ventricular Tachycardia and Rhabdomyolysis
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概要
- 論文の詳細を見る
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.
- 一般社団法人 日本内科学会の論文
著者
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Park Hoon
Division Of Electrical And Computer Engineering Hanyang University
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Kim Hyung
Division of Biotechnology, The Catholic University of Korea
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Park Hoon
Division of Nephrology, Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Korea
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Lee Su-Hyun
Division of Nephrology, Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Korea
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Ahn Yu-Bae
Division of Endocrinology, Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Korea
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Chang Kyung
Division of Nephrology, Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Korea
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Ko Sun-Hee
Division of Endocrinology, Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Korea
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- Severe Hypokalemia and Thyrotoxic Paralysis from Painless Thyroiditis Complicated by Life-threatening Polymorphic Ventricular Tachycardia and Rhabdomyolysis
- Gene cloning and catalytic characterization of cold-adapted lipase of Photobacterium sp. MA1-3 isolated from blood clam