Severe hypokalemia in thyrotoxic periodic paralysis

Donald Miller; Jorge delCastillo; Tat-Kin Tsang

doi:10.1016/0735-6757(89)90279-9

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Severe hypokalemia in thyrotoxic periodic paralysis

Donald Miller, MD

Jorge delCastillo, MD

Tat-Kin Tsang, MD

DOI: http://dx.doi.org/10.1016/0735-6757(89)90279-9

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Abstract

Thyrotoxic hypokalemic periodic paralysis is an uncommon but sometimes fatal disease in which early recognition and therapy may prevent untoward complications. The case of a 26-year-old Chinese man who presented to the emergency department with rapidly progressive profound weakness and severe hypokalemia (serum potassium, 1.2 mEq/L) is presented. The patient required endotracheal intubation, ventilatory assistance, and intravenous potassium administration. Emergency medical evaluation and management of this entity are discussed.

Keywords:

Hypokalemia, periodic paralysis, thyrotoxic

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Severe hypokalemia in thyrotoxic periodic paralysis

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