Evidence map›Paper›PMID 32335663›Full record

ArticleJNMA; journal of the Nepal Medical Association

Thyrotoxic Periodic Paralysis with Hypokalemia in an Adult Male from Nepal: A Case Report.

Sabina Khadka, Indu K C, Rabindra Jang Rayamajhi, Pravakar Dawadi, Pravash Budhathoki

Abstract readCase Reports
In one paragraph

Article in JNMA; journal of the Nepal Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sabina KhadkaNepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Indu K CDepartment of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
Rabindra Jang RayamajhiDepartment of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
Pravakar DawadiNepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
Pravash BudhathokiNepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thyrotoxic periodic paralysis is rare complication of hyperthyroidism characterized by the sudden onset of hypokalemia and muscle paralysis. It is typically present in young Asian males. There are very few literatures regarding the occurrence of thyrotoxic hypokalemic periodic paralysis in Nepal. We reported a case of a 35-year-old male presented with the chief complaints of weakness of all four limbs of 1 day duration. He was diagnosed as a case of hyperthyroidism in the past, received treatment for 6 months and left medications on his own 6 months ago. Evaluation during admission revealed severe hypokalemia with serum potassium level 1.3mEq/l and high serum Triiodothyronine (>20.00µg/L) and low serum Thyroid Stimulating Hormone (<0.01µg/L). Potassium supplements resolved muscle weakness and the patient was restarted with anti-thyroid drugs. Hence, hypokalemic paralysis is a reversible cause of paralysis and high index of suspicion as well as timely interventions are required to prevent potential harm. Keywords: hyperthyroidism; hypokalemia; muscle paralysis; thyrotoxic periodic paralysis.

Indexed as

AdultAnti-Arrhythmia AgentsAntithyroid AgentsCarbimazoleHumansHyperthyroidismHypocalcemiaHypokalemiaMaleMedication AdherenceParalysisPeriodicityPotassiumPropranololThyrotropinTriiodothyronineAnti-Arrhythmia AgentsAntithyroid AgentsCarbimazolePotassiumPropranololThyrotropinTriiodothyronine

Identifiers

PMID32335663
PMCPMC7580425

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