A 20-year-old Chinese man with recurrent hypokalemic periodic paralysis and delayed diagnosis

Muniba Naqi, Vijaya Raj Bhatt, Shradha Pant, Rajesh Shrestha, Michael Tadros, Srujitha Murukutla, Jeffrey Rothman

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Periodic paralysis in the setting of hypokalemia can be the result of several underlying conditions, requiring systematic evaluation. Thyrotoxic periodic paralysis (TPP), a curable cause of hypokalemic periodic paralysis, can often be the fi rst manifestation of thyrotoxicosis. Because the signs and symptoms of thyrotoxicosis can be subtle and clouded by the clinical distress of the patient, the diagnosis of the underlying metabolic disorder can be overlooked. The authors report a case of TPP in a young Chinese man in whom the diagnosis of thyrotoxicosis was initially missed. This case illustrates the lack of awareness of TPP among many physicians, delay in the diagnosis of TPP and the importance of performing thyroid function testing in all cases of periodic paralysis.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - 2012

ASJC Scopus subject areas

  • Medicine(all)

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