Thyrotoxic Periodic Paralysis: An Unusual Cause of Quadriparesis.
hypokalemia
quadriparesis
thyroid storm
thyrotoxic periodic paralysis
tpp
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
accepted:
18
09
2022
entrez:
26
10
2022
pubmed:
27
10
2022
medline:
27
10
2022
Statut:
epublish
Résumé
Thyrotoxic periodic paralysis (TPP) is an uncommon disorder characterized by acute onset of hypokalemia (serum potassium level less than 3.5 mmol/L) and paralysis secondary to thyrotoxicosis. Patients can present with TPP as the first clinical manifestation of thyrotoxicosis. In patients presenting with acute episodes, the presence of hypokalemia and elevated levels of thyroid hormones with low thyroid-stimulating hormone levels (less than 0.35 µIU/mL) are important diagnostic clues. We report one case of TPP in which the acute onset of paralysis was the first clinical presentation of underlying thyrotoxicosis. After treatment with propranolol and carbimazole, the patient became symptom-free and euthyroid.
Identifiants
pubmed: 36284822
doi: 10.7759/cureus.29355
pmc: PMC9583704
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e29355Informations de copyright
Copyright © 2022, Kaeley et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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