An atypical presentation of high potassium renal secretion rate in a patient with thyrotoxic periodic paralysis: a case report

Thyrotoxic periodic paralysis (TPP) is a rare condition related to hyperthyroidism, with specific clinical and physiopathological features. In this article, we discuss a case report of a patient that develops TPP with no previous history of thyroid illness, highlighting semiological characteristics that can help Emergency physicians to suspect of this condition. Subsequently, we review the recent articles about TPP, with focus in the molecular basis of ion channelopathies and predisposing factors, and discuss the therapeutic approach at acute phase of TPP and prevention of crisis recurrence.

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Thyrotoxic Periodic Paralysis with Sensory Deficits in Young African American Male: A Case Report and Literature Review

American Journal of Medical Case Reports ◽

10.12691/ajmcr-7-7-5 ◽

2020 ◽

Vol 7 (7) ◽

pp. 138-142

Author(s):

Irsa Munir MD ◽

Talha Mehmood MD ◽

Kaiser Islam ◽

Lina Soni ◽

Samy I. McFarlane

Keyword(s):

African American ◽

Case Report ◽

Literature Review ◽

African American Male ◽

Periodic Paralysis ◽

Thyrotoxic Periodic Paralysis ◽

Sensory Deficits

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Thyrotoxic periodic paralysis: case report and review of the literature

Electronic physician ◽

10.19082/7174 ◽

2018 ◽

Vol 10 (8) ◽

pp. 7174-7179 ◽

Cited By ~ 4

Author(s):

Vishnu Vardhan Garla ◽

Manasa Gunturu ◽

Karthik Reddy Kovvuru ◽

Sohail Abdul Salim

Keyword(s):

Case Report ◽

Periodic Paralysis ◽

Review Of The Literature ◽

Thyrotoxic Periodic Paralysis

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Skeletal Muscle Na+/K+-ATPase Pump Dysfunction in Thyrotoxic Periodic Paralysis: Case Report

Acta Endocrinologica (Bucharest) ◽

10.4183/aeb.2015.240 ◽

2015 ◽

Vol 11 (2) ◽

pp. 240-245

Author(s):

R Balasa

Keyword(s):

Skeletal Muscle ◽

Case Report ◽

Periodic Paralysis ◽

Thyrotoxic Periodic Paralysis

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Atypical Presentation of Periodic Paralysis: A Case Report

Clinical Management Issues ◽

10.7175/cmi.v13i1.1383 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Aysun Isiklar

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Comprehensive Evaluation ◽

Periodic Paralysis ◽

Atypical Presentation ◽

Hypokalemic Periodic Paralysis ◽

Low Potassium ◽

Carbohydrate Load ◽

Timely Treatment ◽

Rule Out

Hypokalemic periodic paralysis (HPP) is a kind of periodic paralysis, which is a heterogeneous group of muscle diseases. It is characterized by episodes of flaccid and sudden muscle weakness.Here, we present a case of HPP. The patient was referred to our department because of severe dizziness and fall. After a comprehensive evaluation, a markedly low potassium was detected. The patient’s symptoms resolved after replacement of potassium and he was discharged without deficits. Even though the literature reports an association with exercise, carbohydrate load, and stress, further workup in our patient revealed no association with these precipitants. A proper differential diagnosis should rule out other causes of weakness and paralysis, thus allowing a timely treatment.

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