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Abstract: (9135 Views)
Abstract
Introduction: Hypokalemic periodic paralysis has familial and secondary types. In familial type, the genetic abnormality of calcium channels, produced. ٰThis kind of paralysis are benign and with increasing of age reduced frequency and severity of attacks.
In secondary forms, underlying diseases such as hyperthyroidism, primary hyperaldosternism produced the paralysis attacks usually the time of this attack in longer than first kind and patients may also complain of weakens between attacks.
Case Report: The patient was 38 years old man who admitted for low back pain, numbness of lateral and posterior aspects of thighs, and urinary retention. In his history cramp of muscles of lower limbs, hypokalemic periodic paralysis (with normal condition between attacks), and hypertension was noted.
Evaluation of patient showed metastatic lesion of lumbar spine with adrenal adenocarcinoma origin.
Conclusion: In patients with hypokalemic periodic paralysis that more of them reffered in teenagre and young duratings, probable underlying diseases such as primary hyperaldosteronism and hyperthyroidism should be conansidered, especially in absence of fmilial history. With early diagnosis and treatment of underlying conditions, we can control the paralytic attacks and prevent from the consequences of these diseases.
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Special Received: 2013/12/24 | Accepted: 2013/12/24 | Published: 2013/12/24