Abstract:
:A 19-year-old girl presented at our emergency room with hypokalemic periodic paralysis. She had a thyrotoxic goiter and had experienced three paralytic attacks during the previous 2 years on occasions when she stopped taking antithyroid drugs. In addition to thyrotoxic periodic paralysis (TPP), she had metabolic acidosis, urinary potassium loss, polyuria and polydipsia. Her reduced ability to acidify urine during spontaneous metabolic acidosis was confirmed by detection of coexisting distal renal tubular acidosis (RTA). The polyuria and polydipsia were caused by nephrogenic diabetes insipidus, which was diagnosed using the water deprivation test and vasopressin administration. Her recurrent and frequent paralytic attacks may have been the combined effects of thyrotoxicosis and RTA. Although the paralytic attack did not recur after improving the thyroid function, mild acidosis and nephrogenic DI have been remained subsequently. Patients with TPP, especially females with atypical metabolic features, should be investigated for possible precipitating factors.
journal_name
Endocr Jjournal_title
Endocrine journalauthors
Im EJ,Lee JM,Kim JH,Chang SA,Moon SD,Ahn YB,Son HS,Cha BY,Lee KW,Son HYdoi
10.1507/endocrj.k09e-261subject
Has Abstractpub_date
2010-01-01 00:00:00pages
347-50issue
4eissn
0918-8959issn
1348-4540pii
JST.JSTAGE/endocrj/K09E-261journal_volume
57pub_type
杂志文章abstract::Multiple endocrine neoplasia type 1 (MEN 1) is rarely reported in Japanese and other oriental populations. To examine if there is a racial difference in the prevalence of MEN 1, we initiated extensive work on patients with endocrine tumors for additional lesions, and annual screening of family members of affected pati...
journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.44.841
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journal_title:Endocrine journal
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更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-11-30 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.45.687
更新日期:1998-10-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.45.505
更新日期:1998-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-04-28 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.43.577
更新日期:1996-10-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-12-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.44.329
更新日期:1997-04-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
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更新日期:1994-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-10-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1993-02-01 00:00:00
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更新日期:2002-08-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.EJ19-0205
更新日期:2020-01-28 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.EJ20-0079
更新日期:2020-09-28 00:00:00
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更新日期:2018-08-27 00:00:00
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更新日期:2002-06-01 00:00:00
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更新日期:2010-01-01 00:00:00
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journal_title:Endocrine journal
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更新日期:1994-12-01 00:00:00
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更新日期:2016-10-29 00:00:00
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更新日期:2000-06-01 00:00:00
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更新日期:2017-07-28 00:00:00
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journal_title:Endocrine journal
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更新日期:2002-12-01 00:00:00
abstract::This randomized, placebo-controlled, double-blind, parallel study assessed the safety, tolerability, pharmacokinetics, and pharmacodynamics of exenatide once weekly (QW) in 30 Japanese patients with type 2 diabetes (T2D) suboptimally controlled by diet and exercise alone or combined with biguanide, sulfonylurea, thiaz...
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更新日期:2009-01-01 00:00:00
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journal_title:Endocrine journal
pub_type: 杂志文章
doi:10.1507/endocrj.46.755
更新日期:1999-12-01 00:00:00
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更新日期:2008-10-01 00:00:00