Korean J Med.  2015 Apr;88(4):442-446. 10.3904/kjm.2015.88.4.442.

A Case of Addison's Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis

Affiliations
  • 1Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
  • 2Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea. zhidao79@naver.com
  • 3Department of Internal Medicine, Dankook University Medical College, Cheonan, Korea.

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.

Keyword

Addison disease; Hyperkalemic periodic paralysis; Hyperthyroidism

MeSH Terms

Addison Disease*
Appetite
Diagnosis, Differential
Dizziness
Humans
Hyperkalemia
Hyperpigmentation
Hyperthyroidism
Hypotension
Male
Middle Aged
Nausea
Paralysis, Hyperkalemic Periodic*
Thyroid Gland*
Thyroiditis*
Tuberculosis
Unconsciousness
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