| A Case of Addison’s Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis |
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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 |
| 고칼륨혈증 주기성 마비로 나타난 무통성 갑상선염 동반 애디슨병 1예 |
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고명주1, 서혜미2, 김영욱2, 김성택2, 이상아2, 유원상3, 김소미2 |
1제주대학교 의학전문대학원 제주대학교병원 영상의학과
2제주대학교 의학전문대학원 제주대학교병원 내과
3단국대학교 의과대학 내과학교실 |
Correspondence:
So Mi Kim, Tel: +82-64-717-1400, Fax: +82-64-717-1402, Email: zhidao79@naver.com
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Received: 24 September 2014 • Revised: 25 October 2014 • Accepted: 26 December 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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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. |
| Key Words:
Addison disease; Hyperkalemic periodic paralysis; Hyperthyroidism |
| 주제어:
애디슨병; 고칼륨혈증 주기성 마비; 갑상선중독증 |
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