Title of article
Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report
Author/Authors
Banavathu, Tejaswee Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Tripathi, Swapnil Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Sukhadiya, Pankaj Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Ahari, Kamlesh Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Shankar Meena, Durga Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Kumar Garg, Mahendra Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India
Pages
4
From page
1
To page
4
Abstract
Thyrotoxic periodic paralysis is a rare endocrine emergency that manifests as acute onset muscle weakness
and hypokalaemia secondary to thyrotoxicosis. It mainly occurs due to rapid and dramatic intracellular shift of
potassiumresulting in hypokalaemia and acute flaccid paralysis. This condition predominantly affects males of
Asian descent, and presentation can range from mild generalized weakness to complete quadriplegia, as seen in
our case. We herein report a case of a 40-year-old female, who presented to us with acute onset flaccid quadriplegia
and thyroid storm, which is the first ever manifestation of previously undiagnosed Grave’s disease. Liver
abscess was found to be the underlying trigger for thyrotoxic paralysis and thyroid storm.
Keywords
Hypokalemic Periodic Paralysis , Thyrotoxicosis , Graves disease , Quadriplegia , Thyroid Crisis
Journal title
Archives of Academic Emergency Medicine (AAEM)
Serial Year
2021
Record number
2730057
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