Thyrotoxic Periodic Paralysis Associated with Transient Thyrotoxicosis Due to Painless Thyroiditis.
10.3346/jkms.2012.27.7.822
- Author:
Sang Bo OH
1
;
Jinhee AHN
;
Min Young OH
;
Bo Gwang CHOI
;
Ji Hyun KANG
;
Yun Kyung JEON
;
Sang Soo KIM
;
Bo Hyun KIM
;
Yong Ki KIM
;
In Joo KIM
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. pons71@hanmail.net
- Publication Type:Case Reports
- Keywords:
Thyrotoxic Hypokalemic Periodic Paralysis;
Painless Thyroiditis;
Thyrotoxicosis
- MeSH:
Administration, Oral;
Adult;
Anti-Arrhythmia Agents/therapeutic use;
Humans;
Hypokalemic Periodic Paralysis/*diagnosis/drug therapy/etiology;
Male;
Organotechnetium Compounds/chemistry/diagnostic use;
Potassium Chloride/therapeutic use;
Propranolol/therapeutic use;
Radiopharmaceuticals/diagnostic use;
Thyroiditis/*complications/radiography/ultrasonography;
Thyrotoxicosis/*diagnosis/etiology
- From:Journal of Korean Medical Science
2012;27(7):822-826
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thyrotoxic periodic paralysis (TPP) is a rare manifestation of hyperthyroidism characterized by muscle weakness and hypokalemia. All ethnicities can be affected, but TPP typically presents in men of Asian descent. The most common cause of TPP in thyrotoxicosis is Graves' disease. However, TPP can occur with any form of thyrotoxicosis. Up to our knowledge, very few cases ever reported the relationship between TPP and painless thyroiditis. We herein report a 25-yr-old Korean man who suffered from flaccid paralysis of the lower extremities and numbness of hands. The patient was subsequently diagnosed as having TPP associated with transient thyrotoxicosis due to painless thyroiditis. The paralytic attack did not recur after improving the thyroid function. Therefore, it is necessary that early diagnosis of TPP due to transient thyrotoxicosis is made to administer definite treatment and prevent recurrent paralysis.
