Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report
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 potassium resulting in hypokalaemia and acute flaccid paralysis. This condition pr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2021-02-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1083 |
| _version_ | 1831647287725522944 |
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| author | Tejaswee Banavathu Swapnil Tripathi Pankaj Sukhadiya Kamlesh Ahari Durga Shankar Meena Mahendra Kumar Garg |
| author_facet | Tejaswee Banavathu Swapnil Tripathi Pankaj Sukhadiya Kamlesh Ahari Durga Shankar Meena Mahendra Kumar Garg |
| author_sort | Tejaswee Banavathu |
| collection | DOAJ |
| description | 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 potassium resulting 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. |
| first_indexed | 2024-12-19T14:11:32Z |
| format | Article |
| id | doaj.art-77d0df9839e8474d86f581133e85c2e0 |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-19T14:11:32Z |
| publishDate | 2021-02-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-77d0df9839e8474d86f581133e85c2e02022-12-21T20:18:07ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042021-02-019110.22037/aaem.v9i1.1083Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case ReportTejaswee Banavathu0Swapnil Tripathi1Pankaj Sukhadiya2Kamlesh Ahari3Durga Shankar Meena4Mahendra Kumar Garg5Department of Internal Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Internal Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Internal Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Internal Medicine, All India Institute of Medical Sciences, JodhpurAll India Institute of Medical Sciences, JodhpurDepartment of Internal Medicine, All India Institute of Medical Sciences, JodhpurThyrotoxic 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 potassium resulting 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.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1083Hypokalemic Periodic ParalysisThyrotoxicosisGraves diseaseQuadriplegiaThyroid Crisis |
| spellingShingle | Tejaswee Banavathu Swapnil Tripathi Pankaj Sukhadiya Kamlesh Ahari Durga Shankar Meena Mahendra Kumar Garg Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report Archives of Academic Emergency Medicine Hypokalemic Periodic Paralysis Thyrotoxicosis Graves disease Quadriplegia Thyroid Crisis |
| title | Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report |
| title_full | Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report |
| title_fullStr | Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report |
| title_full_unstemmed | Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report |
| title_short | Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report |
| title_sort | thyrotoxic periodic paralysis with thyroid storm as the first presentation of graves disease a case report |
| topic | Hypokalemic Periodic Paralysis Thyrotoxicosis Graves disease Quadriplegia Thyroid Crisis |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1083 |
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