A Case of Addison's Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis.
10.3904/kjm.2015.88.4.442
- Author:
Myeong Ju KOH
1
;
Hye Mi SEO
;
Young Uck KIM
;
Seongteag KIM
;
Sang A LEE
;
Won Sang YOO
;
So Mi KIM
Author Information
1. Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
- Publication Type:Case Report
- Keywords:
Addison disease;
Hyperkalemic periodic paralysis;
Hyperthyroidism
- MeSH:
Addison Disease*;
Appetite;
Diagnosis, Differential;
Dizziness;
Humans;
Hyperkalemia;
Hyperpigmentation;
Hyperthyroidism;
Hypotension;
Male;
Middle Aged;
Nausea;
Paralysis, Hyperkalemic Periodic*;
Thyroid Gland*;
Thyroiditis*;
Tuberculosis;
Unconsciousness
- From:Korean Journal of Medicine
2015;88(4):442-446
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
