急性前骨髄球性白血病の治療中に低K性周期性四肢麻痺を来した症例

• 塩之入 千恵子

  東京厚生年金病院内科

• 苅家 利承

  東京厚生年金病院内科

• 米山 彰子

  東京大学医学部付属病院検査部

書誌事項

タイトル別名

• Hypokalemic periodic paralysis during treatment of acute promyelocytic leukemia
• キュウセイ ゼン コツズイキュウセイ ハッケツビョウ ノ チリョウ チュウ ニ テイKセイ シュウキセイ シシ マヒ オ キタシタ ショウレイ

抄録

A 40-year-old man was admitted with fever and purpura. He was diagnosed as having acute promyelocytic leukemia, and treated with all-trans retinoic acid. After achieving complete remission, he received consolidation therapy. During the chemotherapy, quadriplegia occurred three times. This was diagnosed as hypokalemic periodic paralysis because of the patient's low serum potassium level. Results of hormone and urine examinations showed no indication of secondary hypokalemia. However, the patient had a history of quadriplegia of unknown etiology at the age of 36. We speculated that in addition to the patient's predisposition to hypokalemic periodic paralysis, chemotherapy including prednisolone, and excessive ingestion of carbohydrate had induced his quadriplegia.

収録刊行物

• 臨床血液

  臨床血液 41 (5), 437-440, 2000

  一般社団法人 日本血液学会

キーワード

• Acute promyelocytic leukemia
• Hypokalemic periodic paralysis
• Prednisolone
• Hyperinsulinemia

詳細情報

• CRID: 1390001205033054464
• NII論文ID: 10008037785
• NII書誌ID: AN00252940
• DOI: 10.11406/rinketsu.41.437
• COI: 1:STN:280:DC%2BD3cvjvVKmsA%3D%3D
• ISSN: 18820824
• ISSN: 04851439
• NDL書誌ID: 6295622
• PubMed: 10879107
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I6295622
• Web Site: https://search.jamas.or.jp/link/ui/2000277069
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可