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The Egyptian Journal of Internal Medicine
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A case report of recurrent hypokalaemic periodic paralysis in a young male patient

The Egyptian Journal of Internal Medicine volume 27, pages 72–74 (2015)Cite this article

Abstract

A 21-year-old normotensive male patient presented with acute-onset flaccid paralysis with the history of a similar episode a few months back. Clinical and laboratory evaluation revealed lower motor neuron type of flaccid quadriparesis with hypokalaemia, normal anion gap metabolic acidosis, bicarbonaturia and transtubular potassium concentration gradient more than 7. Subsequently, urine acidification test (by ammonium chloride challenge test) was performed and diagnosis of renal tubular acidosis was established. The patient ultrasound did not show nephrocalcinosis, and history of recurrent diarrhoea preceding the attack revealed that the patient also had coeliac disease. The patient responded to conservative management (Sohl’s solution) and gluten-free diet.

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Authors and Affiliations

  1. Dr Ram Manohar Lohia Hospital and PGIMER, New Delhi, India

    Pulin Gupta,  Vikas T. Talreja, M. S. Dhananjaya & Sakshi Mittal

Authors
  1. Pulin Gupta
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  2. Vikas T. Talreja
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  3. M. S. Dhananjaya
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  4. Sakshi Mittal
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Correspondence to Vikas T. Talreja.

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Gupta, P., Talreja, V.T., Dhananjaya, M.S. et al. A case report of recurrent hypokalaemic periodic paralysis in a young male patient. Egypt J Intern Med 27, 72–74 (2015). https://doi.org/10.4103/1110-7782.158001

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  • DOI: https://doi.org/10.4103/1110-7782.158001

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