Abstract
Thyrotoxic hypokalemic periodic paralysis (THPP) is an uncommon emergency mainly affecting Asian men. Stress, infections, high carbohydrate diet, steroids, physical activity are triggers. The classic triad for diagnosis is thyrotoxicosis, hypokalemia and paralysis. The typical presentation consists of symmetrical proximal muscle weakness (with legs more affected than arms, with extensor muscle more involved than flexors), promptly solved by the correction of hypokalemia.
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