Abstract
Hypokalemic periodic paralysis (HPP) is a severe emergency condition that requires immediate attention, treatment, and admission to the critical care unit; otherwise, it can lead to lifethreatening complications such as arrhythmias and respiratory failure. It is characterized by muscle paralysis and hypokalemia. Thyrotoxic periodic paralysis (TPP) is a serious complication of hyperthyroidism, and it is a common etiology of secondary HPP. In this study, we present a case report of a patient who presented to our ED with weakness and hypokalemia and was found to have severe hyperthyroidism.
Highlights
Thyrotoxic periodic paralysis (TPP), a serious complication of hyperthyroidism, is a common etiology of secondary hypokalemic periodic paralysis (HPP)
TPP should be a differential diagnosis for patients with unexplained hypokalemia and weakness, even in the absence of clinical features of hyperthyroidism
Hypokalemic periodic paralysis (HPP) is a severe emergency condition that requires immediate attention, treatment, and admission to the critical care unit; otherwise, it can lead to lifethreatening complications such as arrhythmias and respiratory failure
Summary
Hypokalemic periodic paralysis (HPP) is a severe emergency condition that requires immediate attention, treatment, and admission to the critical care unit; otherwise, it can lead to lifethreatening complications such as arrhythmias and respiratory failure. It is characterized by muscle paralysis and hypokalemia. Heat intolerance, chronic diarrhea, recent viral illness, or contact with sick persons and reported that he did not drink alcohol or smoke cigarettes He denied engaging in physical exertion or consuming a carbohydrate-rich meal before experiencing these symptoms. He was conscious and oriented to place, persons, and time He had normal vital signs, including heart rate, blood pressure, respiratory rate, and temperature; his cranial nerve exams were normal. The patient was referred to critical care and endocrinology for further management of hypokalemia and thyrotoxicosis
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