A Case of 36-Year-Old Man with Normokalemic Thyrotoxic Periodic Paralysis.
- Author:
Hee Jin KIM
1
;
Tae Sik JUNG
;
Jong Ryeal HAHM
;
Jung Hwa JUNG
;
Soo Kyoung KIM
;
Sang Min LEE
;
Sang Su LEE
;
Ho Su KIM
;
Sungsu KIM
;
Soon Il CHUNG
Author Information
1. Department of Internal Medicine, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. taesikjung@gmail.com
- Publication Type:Case Report
- Keywords:
Graves' disease;
Paralysis;
Thyrotoxicosis
- MeSH:
Adult;
Asian Continental Ancestry Group;
Graves Disease;
Humans;
Hyperthyroidism;
Iodides;
Iodine;
Methimazole;
Paralysis;
Potassium;
Thyroid Gland;
Thyrotoxicosis
- From:Journal of Korean Thyroid Association
2011;4(2):123-126
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thyrotoxic periodic paralysis is not a rare complication of hyperthyroidism in Asian people, but the cases of paralysis with normal serum potassium levels are very rare. A 36-year-old Korean man who had been diagnosed with Graves' disease had experienced recurrent paralysis for 9 months in spite of normokalemia. We measured the patient's serum potassium levels nine times at the time of paralysis. All measurements fell in the range 3.3~4.7 mmol/L. We treated the patient with methimazole, Lugol's solution, beta-blockers, and radioactive iodine. Thyroid function was normalized after anti-thyroid treatment and then no further paralytic attacks have occurred.
