QUADRIPARESIS AS A PRESENTING MANIFESTATION OF DIABETIC kETOACIDOSIS: A RARE CASE REPORT

摘要

Acute generalized weakness is frequent case in emergency department, with different etiology. It can involve all or selective groups of body muscles. Acute hypokalemic quadriparesis in a 45-year-old woman is described. Her neurological examination revealed bilateral weakness of all four limbs. Besides diabetic ketoacidosis, severe hypokalemia was diagnosed. Although frequent, so severe hypokalemia is rare. Differential diagnoses as well as the possible etiologic factors were analyzed. Severe hypokalemia manifesting with quadriparesis and respiratory embarrassment in the settings of diabetic ketoacidosis has been rarely reported. Our case, especially as a presenting feature in a previously undiagnosed case of type 2 diabetes mellitus, is probably the most unique manifestation in clinical practice