A case report of recurrent hypokalaemic periodic paralysis in a young male patient
A 21-year-old normotensive male patient presented with acute-onset flaccid paralysis with the history of a similar episode a few months back. Clinical and laboratory evaluation revealed lower motor neuron type of flaccid quadriparesis with hypokalaemia, normal anion gap metabolic acidosis, bicarbona...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2015-01-01
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| Series: | The Egyptian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=2;spage=72;epage=74;aulast=Gupta |
| _version_ | 1818402603894046720 |
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| author | Pulin Gupta Vikas T Talreja M S Dhananjaya Sakshi Mittal |
| author_facet | Pulin Gupta Vikas T Talreja M S Dhananjaya Sakshi Mittal |
| author_sort | Pulin Gupta |
| collection | DOAJ |
| description | A 21-year-old normotensive male patient presented with acute-onset flaccid paralysis with the history of a similar episode a few months back. Clinical and laboratory evaluation revealed lower motor neuron type of flaccid quadriparesis with hypokalaemia, normal anion gap metabolic acidosis, bicarbonaturia and transtubular potassium concentration gradient more than 7. Subsequently, urine acidification test (by ammonium chloride challenge test) was performed and diagnosis of renal tubular acidosis was established. The patient ultrasound did not show nephrocalcinosis, and history of recurrent diarrhoea preceding the attack revealed that the patient also had coeliac disease. The patient responded to conservative management (Sohl′s solution) and gluten-free diet. |
| first_indexed | 2024-12-14T08:11:00Z |
| format | Article |
| id | doaj.art-90b5febd44bc4abda20b1dbb88b6d03b |
| institution | Directory Open Access Journal |
| issn | 1110-7782 2090-9098 |
| language | English |
| last_indexed | 2024-12-14T08:11:00Z |
| publishDate | 2015-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-90b5febd44bc4abda20b1dbb88b6d03b2022-12-21T23:10:04ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982015-01-01272727410.4103/1110-7782.158001A case report of recurrent hypokalaemic periodic paralysis in a young male patientPulin GuptaVikas T TalrejaM S DhananjayaSakshi MittalA 21-year-old normotensive male patient presented with acute-onset flaccid paralysis with the history of a similar episode a few months back. Clinical and laboratory evaluation revealed lower motor neuron type of flaccid quadriparesis with hypokalaemia, normal anion gap metabolic acidosis, bicarbonaturia and transtubular potassium concentration gradient more than 7. Subsequently, urine acidification test (by ammonium chloride challenge test) was performed and diagnosis of renal tubular acidosis was established. The patient ultrasound did not show nephrocalcinosis, and history of recurrent diarrhoea preceding the attack revealed that the patient also had coeliac disease. The patient responded to conservative management (Sohl′s solution) and gluten-free diet.http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=2;spage=72;epage=74;aulast=GuptaAmmonium chloride challenge test, distal renal tubular acidosis, hypokalaemic periodic paralysis, Sohl′s solution |
| spellingShingle | Pulin Gupta Vikas T Talreja M S Dhananjaya Sakshi Mittal A case report of recurrent hypokalaemic periodic paralysis in a young male patient The Egyptian Journal of Internal Medicine Ammonium chloride challenge test, distal renal tubular acidosis, hypokalaemic periodic paralysis, Sohl′s solution |
| title | A case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| title_full | A case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| title_fullStr | A case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| title_full_unstemmed | A case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| title_short | A case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| title_sort | case report of recurrent hypokalaemic periodic paralysis in a young male patient |
| topic | Ammonium chloride challenge test, distal renal tubular acidosis, hypokalaemic periodic paralysis, Sohl′s solution |
| url | http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=2;spage=72;epage=74;aulast=Gupta |
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