Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2012 / Cilt: 2 - Sayı: 3

Familial hypokalemic periodic paralysis: A case report

Ailesel hipokalemik periyodik paralizi: Olgu sunumu

Pages
177–181
DOI
—
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AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report, in order to get attention to this rare disease, we present a 4 year-old girl who admitted to our emergency department with loss of power in all four limbs and whose family history showed familial hypokalemic periodic paralysis for two generations.

📌 3 Key Takeaways

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Objective & Hypothesis:Familial hypokalemic periodic paralysis is a rare neuromuscular-genetic disease characterized by attacks of painless muscle weakness.
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Key Findings & Data:It has been reported that the decrease in serum potassium levels to below 3.5 mEq/L due to uptake of potassium by muscle cells leads the onset of episodes of muscle weakness.
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Conclusion & Impact:In this report, in order to get attention to this rare disease, we present a 4 year-old girl who admitted to our emergency department with loss of power in all four limbs and whose family history showed familial hypokalemic periodic paralysis for two generations.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Familial hypokalemic periodic paralysis is a rare neuromuscular-genetic disease characterized by attacks of painless muscle weakness. It is caused by the defect of muscle cell ion channels. It has been reported that the decrease in serum potassium levels to below 3.5 mEq/L due to uptake of potassium by muscle cells leads the onset of episodes of muscle weakness. Potassium levels are normal on episode-free period. Due to autosomal dominant inheritance, the presence of relatives who have similar symptoms is crucial for the diagnostic workup. In this report, in order to get attention to this rare disease, we present a 4 year-old girl who admitted to our emergency department with loss of power in all four limbs and whose family history showed familial hypokalemic periodic paralysis for two generations.

Özet

Ailesel hipokalemik periyodik paralizi, ağrısız kas güçsüzlüğü ataklarıyla karakterize ender görülen nöromuskuler genetik bir hastalıktır. Kas hücresinde bulunan iyon kanallarındaki bozukluk nedeniyle oluşur. Potasyumun kas hücrelerine geçmesi sonucunda serum potasyum düzeyinin 3,5 mEq/L’nin altına düşmesi kas güçsüzlüğü ataklarının nedeni olarak bildirilmektedir. Atak dışı dönemde serum potasyum düzeyinin normal olması tipiktir. Genetik geçiş otozomal dominant olduğu için ailede benzer yakınmalara sahip bireylerin varlığı tanıda büyük önem taşımaktadır. Bu makalede acil servisimize tüm ekstremitelerde kuvvet kaybı ile başvuran ve ailesinde iki kuşaktır ailesel hipokalemik periyodik paralizi görülen 4 yaşında bir kız hasta ender görülen bu hastalığa dikkat çekmek amacıyla sunulmaktadır.

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Cite This Article

ARICI, Z. S., ŞİRİN, S. K., ÖZGÖNÜL, F., YAVAŞCAN, Ö., AKSU, N. (2012). Familial hypokalemic periodic paralysis: A case report. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 2 - Sayı: 3, 177–181. https://ajindex.com/articles/216317

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References (4)

  1. Koc F, Bozdemir H, Över F, Sarıca Y. Tirotoksik hipokalemik periyodik paralizi; yedi olgunun analizi ve literatürün gözden geçirilmesi. Gülhane Tıp Dergisi 2004;46:59-65
  2. Fontaine B, Lapie P, Plassart E, Tabti N, Nicole S, Reboul J et al. Periodic paralysis and voltage-gated ion channels. Kidney Int 1996;49:9-18. http://dx.doi.org/10.1038/ki.1996.2 PMid:8770943 3. Stedwell R, Allen KM, Binder LS. Hypokalemic paralysis: A review of the etiologies, pathophysiology, presentation, and therapy. Am J Emerg Med 1992;10:143-8.
  3. Lin SH. Thyrotoxic periodic paralysis. Mayo Clin Proc 2005; 80:99-105. PMid:15667036 5. Elbaz A, Vale-Santos J, Jurkat-Rott K, Lapie P, Ophoff RA et al. Hypokalemic periodic paralysis and the dihydropyridine receptor (CACNL1A3): genotype/phenotype correlations for two predominant mutations and evidence for the absence of a founder effect in 16 caucasian families. Am J Hum Genet 1995;56:374-80. PMid:7847370 PMCid:1801148 6. Venance SL, Cannon SC, Fialho D, Fontaine B, Hanna MG, Ptacek LJ et al. The primary periodic paralyses: diagnosis, pathogenesis and treatment. Brain 2006;129:8-17. http://dx.doi.org/10.1093/brain/awh639 PMid:16195244 7. Matthews E, Labrum R, Sweeney MG, Sud R, Haworth A, Chinnery PF et al. Voltage sensor charge loss accounts for most cases of hypokalemic periodic paralysis. Neurology 2009;72:1544-7. http://dx.doi.org/10.1212/01.wnl.0000342387.65477.46 PMid:19118277 PMCid:2848101 8. Lin SH, Lin YF, Chen DT, Chu P, Hsu CW, Halperin ML. Laboratory tests to determine the cause of hypokalemia and paralysis. Arch Intern Med 2004;164:1561-5. http://dx.doi.org/10.1001/archinte.164.14.1561 PMid:15277290 9. Chang YC, Huang CC, Chiou YY, Yu CY. Renal tubular acidosis complicated with hypokalemic periodic paralysis. Pediatr Neurol 1995;13:52-4.
  4. Lin SH, Lin YF, Halperin ML. Hypokalaemia and paralysis. QJM 2001;94:133-9 http://dx.doi.org/10.1093/qjmed/94.3.133 PMid:11259688