Hypokaliämische thyreotoxische periodische Parese nach Reismahlzeit

Vogel, Daniel; Schwegler, Beat; Schmidt, J; Vogt, M

doi:10.1055/s-2007-982061

Dtsch med Wochenschr

2007

DOI: 10.1055/s-2007-982061

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Hypokaliämische thyreotoxische periodische Parese nach Reismahlzeit

Daniel Vogel

Beat Schwegler²,

J Schmidt³

et al.

Abstract: Hypokalemic thyrotoxic periodic paresis is a rare but increasingly common medical condition among people living in Western Europe. Diagnostically one's attention should turn to TPP at the presentation of acute paresis in combination with hypokalemia, especially in young men. Serious cardio-pulmonary complications can be avoided with early diagnosis and treatment.

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Cited by 2 publications

References 5 publications

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First case study of periodic hypokalemic thyreotoxic paresis with partial respiratory insufficiency and concomitant sinus bradycardia

Nagele¹,

Hörmann²,

Nagele

2009

Wien Med Wochenschr

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This report describes the case of a 29-year-old Chechen refugee with periodic hypokalemic thyreotoxic tetraparesis (PHTP). Besides a partial respiratory insufficiency, the patient was also presented with sinus bradycardia. Medical literature describes several cases of thyreotoxicosis in combination with bradycardia. For the first time, we were able to observe a case of PHTP in combination with sinus bradycardia. PHTP is rarely seen in central Europe. In this case establishing a final diagnosis was difficult because of the concomitant presence of bradycardia and Graves' disease.

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First case study of periodic hypokalemic thyreotoxic paresis with partial respiratory insufficiency and concomitant sinus bradycardia

Nagele¹,

Hörmann²,

Nagele

2009

Wien Med Wochenschr

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Unusual case of weakness in the UK

Ngu

Tymms²

2010

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SummaryA healthy 35-year-old Vietnamese man presented with acute tetraparesis. He was watching television when suddenly he could not mobilise. As the weakness progressed overnight he attended the accident and emergency department. Observations were normal. He denied any pain, headache, vomiting, diarrhoea or use of laxatives or illicit drugs. Neurological examination revealed global weakness in all four limbs ranging from 0 to 3/5. Reflexes were suppressed. Examination of cranial nerves and of other systems was unremarkable. However, laboratory results showed a hypokalaemia of 2.3 (3.5-5.5 mmol/l) on admission. ECG first showed U waves and Mobitz type 1 but this resolved to sinus rhythm. On further questioning, he revealed a recent weight loss of 9 kg despite an increase in appetite. Thyroid function tests revealed free T4 57 (12-22 pmol/l) with thyroid-stimulating hormone undetectable. He was treated with potassium replacement and carbimazole and his symptoms resolved completely 8 days post-admission. The patient was diagnosed with hypokalaemic thyrotoxic periodic paralysis. BACKGROUND

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Hypokaliämische thyreotoxische periodische Parese nach Reismahlzeit

Cited by 2 publications

References 5 publications

First case study of periodic hypokalemic thyreotoxic paresis with partial respiratory insufficiency and concomitant sinus bradycardia

First case study of periodic hypokalemic thyreotoxic paresis with partial respiratory insufficiency and concomitant sinus bradycardia

Unusual case of weakness in the UK

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