Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature

Objectives. To describe 2 cases of thyrotoxic periodic paralysis. Methods. We report of 2 cases of thyrotoxic periodic paralysis in 2 individuals from 2 different backgrounds with emphasis on their presentation and treatment. We also conducted a literature search to put together an update review of...

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Main Authors: Abbi Lulsegged, Christina Wlodek, Michela Rossi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2011/867475
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author Abbi Lulsegged
Christina Wlodek
Michela Rossi
author_facet Abbi Lulsegged
Christina Wlodek
Michela Rossi
author_sort Abbi Lulsegged
collection DOAJ
description Objectives. To describe 2 cases of thyrotoxic periodic paralysis. Methods. We report of 2 cases of thyrotoxic periodic paralysis in 2 individuals from 2 different backgrounds with emphasis on their presentation and treatment. We also conducted a literature search to put together an update review of thyrotoxic periodic paralysis. Results. A 47-year-old Chinese and 28-year-old Caucasian male presented with profound yet reversible weakness associated with hypokalemia on admission bloods and thyrotoxicosis. Both were given definitive therapy to prevent recurrence of attacks with any future relapse of thyrotoxicosis. Conclusion. Thyrotoxic periodic paralysis (TPP) is a rare but potentially serious complication of thyrotoxicosis resulting in temporary but severe muscle weakness. Recent discovery of a novel mutation in the KCNJ18 gene which codes for an inwardly rectifying potassium channel and is controlled by thyroid hormones may provide greater insight into the pathogenesis of TPP.
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spelling doaj-art-16e2e8d66f624143b7870a41d515032f2025-02-03T05:53:36ZengWileyCase Reports in Endocrinology2090-65012090-651X2011-01-01201110.1155/2011/867475867475Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the LiteratureAbbi Lulsegged0Christina Wlodek1Michela Rossi2Department of Endocrinology, South London HealthCare NHS Trust, Orpington Hospital, Sevenoaks Road, Orpington BR6 9JU, UKDepartment of Endocrinology, South London HealthCare NHS Trust, Orpington Hospital, Sevenoaks Road, Orpington BR6 9JU, UKDepartment of Endocrinology, Whittington NHS Trust Hospital, London N19 5NF, UKObjectives. To describe 2 cases of thyrotoxic periodic paralysis. Methods. We report of 2 cases of thyrotoxic periodic paralysis in 2 individuals from 2 different backgrounds with emphasis on their presentation and treatment. We also conducted a literature search to put together an update review of thyrotoxic periodic paralysis. Results. A 47-year-old Chinese and 28-year-old Caucasian male presented with profound yet reversible weakness associated with hypokalemia on admission bloods and thyrotoxicosis. Both were given definitive therapy to prevent recurrence of attacks with any future relapse of thyrotoxicosis. Conclusion. Thyrotoxic periodic paralysis (TPP) is a rare but potentially serious complication of thyrotoxicosis resulting in temporary but severe muscle weakness. Recent discovery of a novel mutation in the KCNJ18 gene which codes for an inwardly rectifying potassium channel and is controlled by thyroid hormones may provide greater insight into the pathogenesis of TPP.http://dx.doi.org/10.1155/2011/867475
spellingShingle Abbi Lulsegged
Christina Wlodek
Michela Rossi
Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
Case Reports in Endocrinology
title Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
title_full Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
title_fullStr Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
title_full_unstemmed Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
title_short Thyrotoxic Periodic Paralysis: Case Reports and an Up-to-Date Review of the Literature
title_sort thyrotoxic periodic paralysis case reports and an up to date review of the literature
url http://dx.doi.org/10.1155/2011/867475
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