The pitfalls of potassium replacement in thyrotoxic periodic paralysis: A case report and review of the literature

Heather Tassone, Aimee K Moulin, Sean O. Henderson

Research output: Contribution to journalArticle

60 Scopus citations

Abstract

Thyrotoxic Periodic Paralysis is an uncommon disorder seen primarily in Asian males and caused by excessive thyroid hormones. This is an endocrine emergency that can lead to respiratory failure, dysrhythmia, and death. The mainstay of therapy has been potassium replacement, however, recent evidence suggests propranolol is a more effective therapy. We present a severe case of TPP in a 22-year-old Latino male with rapidly progressive ascending paralysis and hypokalemia severe enough to lead to cardiac arrest.

Original languageEnglish (US)
Pages (from-to)157-161
Number of pages5
JournalJournal of Emergency Medicine
Volume26
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

Keywords

  • Hypokalemia
  • Periodic paralysis
  • Propranolol
  • Thyrotoxicosis

ASJC Scopus subject areas

  • Emergency Medicine

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