{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T11:04:13Z","timestamp":1751713453096},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"762","license":[{"start":{"date-parts":[[1989,4,1]],"date-time":"1989-04-01T00:00:00Z","timestamp":607392000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,4,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A 44 year old man with longstanding diabetes mellitus gave a 6-month history of periodic attacks of flaccid quadriplegia. Following one of these episodes he was admitted for assessment. In view of persistent hyperkalaemia, hypoadrenalism was suspected and Addison\u2019s disease was confirmed biochemically. Adrenal replacement therapy restored the potassium levels to normal and resulted in no further attacks of paralysis.<\/jats:p>","DOI":"10.1136\/pgmj.65.762.238","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"238-240","source":"Crossref","is-referenced-by-count":12,"title":["Hyperkalaemic periodic paralysis: a rare presentation of Addison\u2019s disease"],"prefix":"10.1093","volume":"65","author":[{"given":"J M","family":"Sowden","sequence":"first","affiliation":[{"name":"Glan Clwyd Hospital, Bodelwyddan, Nr Rhyl , Clwyd LL18 5UJ Wales , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D Q","family":"Borsey","sequence":"additional","affiliation":[{"name":"Glan Clwyd Hospital, Bodelwyddan, Nr Rhyl , Clwyd LL18 5UJ Wales , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1989,4,1]]},"reference":[{"key":"ref_1","first-page":"664","article-title":"Metabolic and endocrine myopathies","volume-title":"Disorders of Voluntary Muscle","author":"Engel, A.G.","year":"1981","unstructured":"Engel, A.G. Metabolic and endocrine myopathies. In: Walton, J. (ed.) Disorders of Voluntary Muscle. Churchill-Livingstone, Edinburgh, 1981, pp. 664-711."},{"issue":"73","key":"ref_2","first-page":"384","article-title":"Fatal spontaneous potassium intoxication in patients with uremia","volume":"1944","author":"Marchand, J.F.; Finch, C.A.","unstructured":"Marchand, J.F. & Finch, C.A. Fatal spontaneous potassium intoxication in patients with uremia. Arch Int Med 1944, 73: 384-390.","journal-title":"Arch Int Med"},{"issue":"1","key":"ref_3","first-page":"337","article-title":"Clinical syndrome of potassium intoxication","volume":"1946","author":"Finch, C.A.; Sawyer, C.G.; Flynn, J.M.","unstructured":"Finch, C.A., Sawyer, C.G. & Flynn, J.M. Clinical syndrome of potassium intoxication. 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Lancet 1953, ii: 60-63.","journal-title":"Lancet 1953"},{"issue":"69","key":"ref_7","first-page":"504","article-title":"Flaccid quadriplegia associated with hyperpotassaemia","volume":"1953","author":"Richardson, G.O.; Sibley, J.C.","unstructured":"Richardson, G.O. & Sibley, J.C. Flaccid quadriplegia associated with hyperpotassaemia. Can Med Assoc J 1953, 69: 504-506.","journal-title":"Can Med Assoc J"},{"issue":"74","key":"ref_8","first-page":"935","article-title":"Paralysies recidivantes avec hyperkaliemie, secondaires a l'ingestion repete de CIK, chez un addisonien traite. Bull Mem Soc","volume":"1958","author":"Laporte, A.; Goulon, M.; Mercier, J.-N.; Leborgne, P.","unstructured":"Laporte, A., Goulon, M., Mercier, J-N. & Leborgne, P. Paralysies recidivantes avec hyperkaliemie, secondaires a l'ingestion repete de CIK, chez un addisonien traite. Bull Mem Soc. Hop. Paris 1958, 74: 935-939.","journal-title":"Hop. Paris"},{"issue":"98","key":"ref_9","first-page":"341","article-title":"Contribution a l'etude des paralysies avec hyperkaliemie I. R61e de l'insuffisance cortic-surrenalienne","volume":"1958","author":"Mollaret, P.; Goulon, M.; Toumilhac, M.","unstructured":"Mollaret, P., Goulon, M. & Toumilhac, M. Contribution a l'etude des paralysies avec hyperkaliemie I. R61e de l'insuffisance cortic-surrenalienne. Rev Neurol (Paris) 1958, 98: 341-357.","journal-title":"Rev Neurol (Paris)"},{"issue":"263","key":"ref_10","first-page":"273","article-title":"Hyperkalemic neuromyopathy in Addison's disease","volume":"1960","author":"Pollen, R.H.; Williams, R.H.","unstructured":"Pollen, R.H. & Williams, R.H. Hyperkalemic neuromyopathy in Addison's disease. N Engl J Med 1960, 263: 273-278.","journal-title":"N Engl J Med"},{"issue":"57","key":"ref_11","first-page":"461","article-title":"Intermittent paralysis and chronic adrenal insufficiency","volume":"1962","author":"Faw, M.L.; Ewer, R.W.","unstructured":"Faw, M.L. & Ewer, R.W. Intermittent paralysis and chronic adrenal insufficiency. Ann Intern Med 1962, 57: 461-463.","journal-title":"Ann Intern Med"},{"issue":"13","key":"ref_12","first-page":"513","article-title":"Isolated analdosteronism. A clinical entity with manifestations of persistent hyperkalaemia, periodic paralysis, salt-losing tendency and acidosis","volume":"1964","author":"Posner, J.B.; Jacobs, D.R.","unstructured":"Posner, J.B. & Jacobs, D.R. Isolated analdosteronism. A clinical entity with manifestations of persistent hyperkalaemia, periodic paralysis, salt-losing tendency and acidosis. Metabolism 1964, 13: 513-521.","journal-title":"Metabolism"},{"issue":"115","key":"ref_13","first-page":"418","article-title":"Hyperkalemic paralysis due to adrenal insufficiency","volume":"1965","author":"Bell, H.; Hayes, W.L.; Vosburgh, J.","unstructured":"Bell, H., Hayes, W.L. & Vosburgh, J. Hyperkalemic paralysis due to adrenal insufficiency. Arch Int Med 1965, 115: 418-420.","journal-title":"Arch Int Med"},{"issue":"85","key":"ref_14","first-page":"619","article-title":"Paralysie hyperkaliemique chez une addisonienne traitee","volume":"1965","author":"Humair, L.; Pfenninger, A.","unstructured":"Humair, L. & Pfenninger, A. Paralysie hyperkaliemique chez une addisonienne traitee. Rev Med Suisse Rom 1965, 85: 619-625.","journal-title":"Rev Med Suisse Rom"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.7326\/0003-4819-66-6-1197","article-title":"Severe symptomatic hyperkalemia in an adrenalectomized woman due to enhanced mineralocorticoid requirement","volume":"66","author":"Daughaday, W.H.; Rendleman, D.","year":"1967","unstructured":"Daughaday, W.H. & Rendleman, D. Severe symptomatic hyperkalemia in an adrenalectomized woman due to enhanced mineralocorticoid requirement. Ann Intern Med 1967, 66: 1197-1203.","journal-title":"Ann Intern Med"},{"key":"ref_16","first-page":"904","article-title":"Hyperkalemic paralysis in Addison's disease","volume-title":"Mayo Clin Proc 1969,44","author":"Van Dellen, R.G.; Purnell, D.C.","unstructured":"Van Dellen, R.G. & Purnell, D.C. Hyperkalemic paralysis in Addison's disease. Mayo Clin Proc 1969,44: 904-914."},{"key":"ref_17","first-page":"650","article-title":"Hyperkalemic quadriplegia in Addison's disease without hyperpigmentation","volume":"6","author":"Waron, M.; Alkan, W.J.; Mera, A.","year":"1970","unstructured":"Waron, M., Alkan, W.J. & Mera, A. Hyperkalemic quadriplegia in Addison's disease without hyperpigmentation. Israel J Med Sci 1970, 6: 650-654.","journal-title":"Israel J Med Sci"},{"key":"ref_18","first-page":"63","article-title":"Hyperkalaemic periodic paralysis associated","volume-title":"with Addison's disease. Proc Aust Assoc Neurol","volume":"9","author":"Schwieger, A.C.","year":"1973","unstructured":"Schwieger, A.C. Hyperkalaemic periodic paralysis associated with Addison's disease. Proc Aust Assoc Neurol 1973, 9: 63-66."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1038\/ki.1980.14","article-title":"Hyperkalemia and hyporeninemic hypoaldosteronism","volume":"17","author":"De Fronzo, R.A.","year":"1980","unstructured":"De Fronzo, R.A. Hyperkalemia and hyporeninemic hypoaldosteronism. 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