Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis
We present a case of fatal rebound hyperkalemia in a patient with thyrotoxic periodic paralysis (TPP) treated with potassium supplementation. Although TPP is a rare hyperthyroidism-related endocrine disorder seen predominantly in men of Asian origin, the diagnosis should be considered in patients of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2010-02-01
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| Series: | Western Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://escholarship.org/uc/item/4s94s58c |
| _version_ | 1828489001986686976 |
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| author | Ahmed, Imdad Chilimuri, Sridhar |
| author_facet | Ahmed, Imdad Chilimuri, Sridhar |
| author_sort | Ahmed, Imdad |
| collection | DOAJ |
| description | We present a case of fatal rebound hyperkalemia in a patient with thyrotoxic periodic paralysis (TPP) treated with potassium supplementation. Although TPP is a rare hyperthyroidism-related endocrine disorder seen predominantly in men of Asian origin, the diagnosis should be considered in patients of non-Asian origins presenting with hypokalemia, muscle weakness or acute paralysis. The condition may present as a life threatening emergency and unfamiliarity with the disease could result in a fatal outcome. Immediate therapy with potassium chloride supplementation may foster a rapid recovery of muscle strength and prevent cardiac arrhythmias secondary to hypokalemia, but with a risk of rebound hyperkalemia. [West J Emerg Med. 2010; 11(1):57-59.] |
| first_indexed | 2024-12-11T10:18:37Z |
| format | Article |
| id | doaj.art-40e31dca2ced457a9d75adc473db117e |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-12-11T10:18:37Z |
| publishDate | 2010-02-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-40e31dca2ced457a9d75adc473db117e2022-12-22T01:11:32ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182010-02-011115759Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic ParalysisAhmed, ImdadChilimuri, SridharWe present a case of fatal rebound hyperkalemia in a patient with thyrotoxic periodic paralysis (TPP) treated with potassium supplementation. Although TPP is a rare hyperthyroidism-related endocrine disorder seen predominantly in men of Asian origin, the diagnosis should be considered in patients of non-Asian origins presenting with hypokalemia, muscle weakness or acute paralysis. The condition may present as a life threatening emergency and unfamiliarity with the disease could result in a fatal outcome. Immediate therapy with potassium chloride supplementation may foster a rapid recovery of muscle strength and prevent cardiac arrhythmias secondary to hypokalemia, but with a risk of rebound hyperkalemia. [West J Emerg Med. 2010; 11(1):57-59.]http://escholarship.org/uc/item/4s94s58cThyrotoxic periodic paralysisrebound hyperkalemiamuscle weaknesshypokalemia |
| spellingShingle | Ahmed, Imdad Chilimuri, Sridhar Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis Western Journal of Emergency Medicine Thyrotoxic periodic paralysis rebound hyperkalemia muscle weakness hypokalemia |
| title | Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis |
| title_full | Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis |
| title_fullStr | Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis |
| title_full_unstemmed | Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis |
| title_short | Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis |
| title_sort | fatal dysrhythmia following potassium replacement for hypokalemic periodic paralysis |
| topic | Thyrotoxic periodic paralysis rebound hyperkalemia muscle weakness hypokalemia |
| url | http://escholarship.org/uc/item/4s94s58c |
| work_keys_str_mv | AT ahmedimdad fataldysrhythmiafollowingpotassiumreplacementforhypokalemicperiodicparalysis AT chilimurisridhar fataldysrhythmiafollowingpotassiumreplacementforhypokalemicperiodicparalysis |