고칼륨혈증 주기성 마비로 나타난 무통성 갑상선염 동반 애디슨병 = Endocrinology-metabolism A Case of Addison`s Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

• 1 Finsterer J, "Primary periodic paralyses" 117 : 145-158, 2008
• 2 Sowden JM, "Hyperkalaemic periodic paralysis:a rare presentation of Addison's disease" 65 : 238-240, 1989
• 3 Bonny O, "Disturbances of Na/K balance: pseudohypoaldosteronism revisited" 13 : 2399-2414, 2002
• 4 Dorin RI, "Diagnosis of adrenal insufficiency" 139 : 194-204, 2003
• 5 Sung SK, "Clinical review of Addison's disease in Korea previously reported 14cases in Korea and 6 new cases at National Medical Center" 2 : 189-193, 1987
• 6 Arlt W, "Adrenal insufficiency" 361 : 1881-1893, 2003
• 7 Oelkers W, "Adrenal insufficiency" 335 : 1206-1212, 1996
• 8 Harvey TC, "Addison's disease and the regulation of potassium:the role of insulin and aldosterone" 69 : 1120-1126, 2007
• 9 Myers KA, "Addison disease presenting with acute neurologic deterioration: a rare presentation yields new lessons from old observations in primary adrenal failure" 16 : 433-436, 2010
• 10 Kim JY, "A case of Addison’s disease due to tuberculosis: pathological confirmation by fineneedle aspiration biopsy" 10 : 306-312, 1995