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

doi:10.1016/j.jemermed.2003.05.004

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 journal › Article › peer-review

61 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 language	English (US)
Pages (from-to)	157-161
Number of pages	5
Journal	Journal of Emergency Medicine
Volume	26
Issue number	2
DOIs	https://doi.org/10.1016/j.jemermed.2003.05.004
State	Published - Feb 2004
Externally published	Yes

Keywords

Hypokalemia
Periodic paralysis
Propranolol
Thyrotoxicosis

ASJC Scopus subject areas

Emergency Medicine

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10.1016/j.jemermed.2003.05.004

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AB - 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.

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KW - Thyrotoxicosis

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

Abstract

Keywords

ASJC Scopus subject areas

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