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CASE REPORT
Year : 2011  |  Volume : 15  |  Issue : 6  |  Page : 147-149

Thyrotoxic periodic paralysis


Department of General Medicine, Coimbatore Medical College Hospital, Coimbatore, India

Correspondence Address:
Suresh Rama Chandran
Pulari, By Pass Road, PO Shoranur, Kerala - 679 121
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.83360

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This article aims at highlighting the importance of suspecting thyrotoxicosis in cases of recurrent periodic flaccid paralysis; especially in Asian men to facilitate early diagnosis of the former condition. A case report of a 28 year old male patient with recurrent periodic flaccid paralysis has been presented. Hypokalemia secondary to thyrotoxicosis was diagnosed as the cause of the paralysis. The patient was given oral potassium intervention over 24 hours. The patient showed complete recovery after the medical intervention and was discharged after 24 hours with no residual paralysis. Thyrotoxic periodic paralysis (TPP) is a complication of thyrotoxicosis, more common amongst males in Asia. It presents as acute flaccid paralysis in a case of hyperthyroidism with associated hypokalemia. The features of thyrotoxicosis may be subtle or absent. Thus, in cases of recurrent or acute flaccid muscle paralysis, it is important to consider thyrotoxicosis as one of the possible causes, and take measures accordingly.


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