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10.1186/s12882-018-0971-9 http://scihub22266oqcxt.onion/10.1186/s12882-018-0971-9 C6031107!6031107 !29973184     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29973184 &cmd=llinks): Failed to open stream: HTTP request failed! 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An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report |pdf=|usr=}}{{29973184 }} gab.com Text An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report JO: BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=29973184 #FOAvip BACKGROUND: Hypokalemia is one of the most common clinical electrolyte imbalance problems, and thyrotoxic periodic paralysis (TPP) is a leading cause of presentation to the emergency department. Low renal potassium secretion rates, a normal acid-base balance in the blood, and hyperthyroidism are the hallmarks of suspected TPP. CASE PRESENTATION: Here we report the case of a 36-year-old man who presented to the emergency department with a sudden onset of acute muscle weakness at 5 h prior to admission. Biochemistry tests revealed hypokalemia with hyperthyroidism and renal potassium wasting. TPP was initially not favored due to the presence of renal potassium wasting. However, his serum potassium level rebounded rapidly within several hours after potassium supplementation, indicating that the intracellular shifting of potassium ions was the main etiology for his hypokalemia. The early stage of TPP development may have contributed to this paradox. CONCLUSION: Therefore, it is premature to rule out TPP based on the presentation of high renal potassium secretion rates alone. This finding may result in an incorrect impression being made in the early stage of TTP and may consequently lead to an inappropriate potassium supplementation policy. Twit Text FOAVip An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report ????BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=29973184 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29973184 #FOAvip English Wikipedia <ref>{{Cite pmid|29973184 }}</ref> An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report #MMPMID29973184 Tu ML ; Fang YW ; Leu JG ; Tsai MH BMC Nephrol 2018[Jul]; 19 (1 ): 160 PMID29973184 show ga BACKGROUND: Hypokalemia is one of the most common clinical electrolyte imbalance problems, and thyrotoxic periodic paralysis (TPP) is a leading cause of presentation to the emergency department. Low renal potassium secretion rates, a normal acid-base balance in the blood, and hyperthyroidism are the hallmarks of suspected TPP. CASE PRESENTATION: Here we report the case of a 36-year-old man who presented to the emergency department with a sudden onset of acute muscle weakness at 5 h prior to admission. Biochemistry tests revealed hypokalemia with hyperthyroidism and renal potassium wasting. TPP was initially not favored due to the presence of renal potassium wasting. However, his serum potassium level rebounded rapidly within several hours after potassium supplementation, indicating that the intracellular shifting of potassium ions was the main etiology for his hypokalemia. The early stage of TPP development may have contributed to this paradox. CONCLUSION: Therefore, it is premature to rule out TPP based on the presentation of high renal potassium secretion rates alone. This finding may result in an incorrect impression being made in the early stage of TTP and may consequently lead to an inappropriate potassium supplementation policy. |Adult [MESH] |Diagnosis, Differential [MESH] |Humans [MESH] |Hyperthyroidism/*blood/complications/diagnosis [MESH] |Hypokalemia/*blood/complications/diagnosis [MESH] |Male [MESH] |Muscle Weakness/*blood/complications/diagnosis [MESH] |Paralysis/*blood/complications/diagnosis [MESH]An atypical presentation of high potassium renal secretion rate in a p(epmc).pdf DeepDyve Pubget Overpricing