Document Detail


Sudden periodic paralysis: rare manifestation of thyrotoxicosis.
MedLine Citation:
PMID:  9866275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nonfamilial hypokalemic thyrotoxic periodic paralysis is rarely diagnosed among Caucasians and blacks in the western world but it is relatively common among Asiatics. Sudden paralysis occurring while at rest after a large carbohydrate meal or strenuous exercise in an undiagnosed mild thyrotoxic patient is a common presentation. A case illustrating such presentation is reported. Intracellular shifts of potassium triggered or facilitated by hyperthyroidism and hyperinsulinemia are the biochemical features. Correction of the thyrotoxic state is the definitive treatment for this disorder. Judicious administration of potassium is indicated during the hypokalemic episode to prevent life-threatening arrhythmias.
Authors:
J Ramírez Rivera; A D Flores
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Boletín de la Asociación Médica de Puerto Rico     Volume:  90     ISSN:  0004-4849     ISO Abbreviation:  Bol Asoc Med P R     Publication Date:    1998 Apr-Jun
Date Detail:
Created Date:  1999-02-16     Completed Date:  1999-02-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505267     Medline TA:  Bol Asoc Med P R     Country:  PUERTO RICO    
Other Details:
Languages:  eng     Pagination:  88-90     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine of the Hospital de la Concepción, San Germán, Puerto Rico.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Asian Continental Ancestry Group / genetics
Ethnic Groups / genetics
European Continental Ancestry Group / genetics
Humans
Hyperinsulinism / etiology
Hypokalemia / ethnology,  etiology*,  genetics
Male
Muscle Hypotonia / etiology
Paralysis / ethnology,  etiology*,  genetics
Periodicity
Tachycardia / etiology
Thyrotoxicosis / blood,  complications*,  ethnology,  genetics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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