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고인슐린혈증에 의해 유발된 저칼륨혈증 주기성 마비 1예
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김경래 | - |
dc.contributor.author | 김철식 | - |
dc.contributor.author | 박진아 | - |
dc.contributor.author | 안철우 | - |
dc.date.accessioned | 2017-10-26T06:45:11Z | - |
dc.date.available | 2017-10-26T06:45:11Z | - |
dc.date.issued | 2005 | - |
dc.identifier.issn | 1226-329X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/151253 | - |
dc.description.abstract | Hypokalemia periodic paralysis, a clinical syndrome characterised by systemic weakness and low serum potassium, is a rare but treatable cause of acute weakness. Attacks of flaccid paralysis can be associated with hypokalemia triggered by insulin. Insulin reduce the conductance of the inward rectifier K+ channel for outward-flowing currents. Therefore, insulin potentiates depolarization of hypokalmeic periodic paralysis. We have experienced a case of hypokalemic periodic paralysis induced by hyperinsulinemia in 38-year old man, with complaint of intermittent paralysis of extremities. On admission, serum K+ was 2.1 mEq/L. He was no family history of muscle weakness. Thyroid function was normal. Serum levels of aldosterone, renin and cortisol were normal. Random plasma glucose level was 129 mg/dL and serum insulin was 131 uIU/mL. Shortly after intravenous supplementation of potassium, muscle weakness was improved. Oral glucose tolerance test revealed impaired glucose tolerance and hyperresponse of insulin and phosphate. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한내과학회 | - |
dc.relation.isPartOf | Korean Journal of Medicine (대한내과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Paralysis | - |
dc.subject.MESH | Hypokalemic Periodic | - |
dc.subject.MESH | Hyperinsulinemia | - |
dc.title | 고인슐린혈증에 의해 유발된 저칼륨혈증 주기성 마비 1예 | - |
dc.title.alternative | A case of hypokalemic perodic paralysis induced by hyperinsulinemia | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | 장진혁 | - |
dc.contributor.googleauthor | 김철식 | - |
dc.contributor.googleauthor | 박종관 | - |
dc.contributor.googleauthor | 박진아 | - |
dc.contributor.googleauthor | 조민호 | - |
dc.contributor.googleauthor | 안철우 | - |
dc.contributor.googleauthor | 김경래 | - |
dc.identifier.doi | OAK-2005-05595 | - |
dc.contributor.localId | A00294 | - |
dc.contributor.localId | A01054 | - |
dc.contributor.localId | A01700 | - |
dc.contributor.localId | A02270 | - |
dc.relation.journalcode | J02060 | - |
dc.relation.journalsince | 1993~2005 | - |
dc.relation.journalafter | 2006~ Korean Journal of Medicine | - |
dc.subject.keyword | Paralysis | - |
dc.subject.keyword | Hypokalemic Periodic | - |
dc.subject.keyword | Hyperinsulinemia | - |
dc.contributor.alternativeName | Kim, Kyung Rae | - |
dc.contributor.alternativeName | Kim, Kyung Rae | - |
dc.contributor.alternativeName | Kim, Chul Sik | - |
dc.contributor.alternativeName | Park, Jina | - |
dc.contributor.alternativeName | Ahn, Chul Woo | - |
dc.contributor.affiliatedAuthor | 김경래 | - |
dc.citation.volume | 68 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 692 | - |
dc.citation.endPage | 696 | - |
dc.identifier.bibliographicCitation | Korean Journal of Medicine (대한내과학회지), Vol.68(6) : 692-696, 2005 | - |
dc.date.modified | 2017-05-04 | - |
dc.identifier.rimsid | 43974 | - |
dc.type.rims | ART | - |
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