Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis
Silent thyroiditis is a rare cause of thyrotoxic periodic paralysis. The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 week...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=2;spage=218;epage=220;aulast=Sanyal |
| _version_ | 1828497528012668928 |
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| author | Debmalya Sanyal Shakya Bhattacharjee |
| author_facet | Debmalya Sanyal Shakya Bhattacharjee |
| author_sort | Debmalya Sanyal |
| collection | DOAJ |
| description | Silent thyroiditis is a rare cause of thyrotoxic periodic paralysis. The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 weeks back. On examination he was found to have hypokalemia secondary to thyrotoxicosis. Clinically there were no features of thyrotoxicosis or thyroiditis. He was initially treated with intravenous and later oral potassium supplementation and propranolol. At 8 weeks of follow-up his thyroid profile became normal and his propranolol was stopped. He had no further recurrence of paralysis. He was diagnosed as a case silent thyroiditis presenting as thyrotoxic periodic paralysis. In cases of recurrent or acute flaccid muscle paralysis, it is important to suspect thyrotoxicosis, even if asymptomatic. Definitive treatment of thyrotoxicosis prevents recurrence. |
| first_indexed | 2024-12-11T12:48:53Z |
| format | Article |
| id | doaj.art-4eac876ebd354fd0b54e20e50e5b7d09 |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-11T12:48:53Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-4eac876ebd354fd0b54e20e50e5b7d092022-12-22T01:06:44ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492013-01-0116221822010.4103/0972-2327.112471Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditisDebmalya SanyalShakya BhattacharjeeSilent thyroiditis is a rare cause of thyrotoxic periodic paralysis. The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 weeks back. On examination he was found to have hypokalemia secondary to thyrotoxicosis. Clinically there were no features of thyrotoxicosis or thyroiditis. He was initially treated with intravenous and later oral potassium supplementation and propranolol. At 8 weeks of follow-up his thyroid profile became normal and his propranolol was stopped. He had no further recurrence of paralysis. He was diagnosed as a case silent thyroiditis presenting as thyrotoxic periodic paralysis. In cases of recurrent or acute flaccid muscle paralysis, it is important to suspect thyrotoxicosis, even if asymptomatic. Definitive treatment of thyrotoxicosis prevents recurrence.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=2;spage=218;epage=220;aulast=SanyalHypokalemiaoral potassiumperiodic paralysisthyroiditisthyrotoxicosis |
| spellingShingle | Debmalya Sanyal Shakya Bhattacharjee Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis Annals of Indian Academy of Neurology Hypokalemia oral potassium periodic paralysis thyroiditis thyrotoxicosis |
| title | Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| title_full | Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| title_fullStr | Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| title_full_unstemmed | Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| title_short | Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| title_sort | thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis |
| topic | Hypokalemia oral potassium periodic paralysis thyroiditis thyrotoxicosis |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=2;spage=218;epage=220;aulast=Sanyal |
| work_keys_str_mv | AT debmalyasanyal thyrotoxichypokalemicperiodicparalysisasthepresentingsymptomofsilentthyroiditis AT shakyabhattacharjee thyrotoxichypokalemicperiodicparalysisasthepresentingsymptomofsilentthyroiditis |