The condition known as thyrotoxicosis hypokalemic paralysis is one that can occur with hyperthyroidism. Although this uncommon but possibly fatal hyperthyroidism syndrome most frequently affects young Asian boys, it can also sporadically affect people of other ethnicities. In this case study, a 33-year-old male without diabetes or alcohol use issues presented to the emergency room complaining of lower-limb weakness, generalised body aches, and palpitations. His potassium levels were extremely low, according to a laboratory analysis. A U wave, an extended Q—T interval, a ST depression, and a T-wave inversion were all seen on an ECG. The presence of thyroidotoxicosis was verified by excessively high T4 and thyroid antibody levels. On a thyroid ultrasound scan, two enlarged thyroid lobes with homogeneous texture and evident vascularity were seen. This concealed thyrotoxicosis caused hypokalemia, which led to symptoms including palpitations and paralysis. The patient received potassium intravenously as needed in addition to other medications. Hospitals do not commonly see a presentation with such distinct symptoms that leads to an unambiguous diagnosis, therefore this case was rather unusual. This case report will explain how the patient's hypokalemic paralysis caused by thyrotoxicosis was discovered and then treated with intravenous potassium.
Author(s) Details:
Mohamed Eltaieb Ali,
Department of Internal Medicine, Madinat Zayed Hospital, UAE.
Ashraf Alakkad,
Department of Internal Medicine, Madinat Zayed Hospital, UAE.
Mohamed Abdel Rahman El Hussein,
Department of Internal Medicine, Madinat Zayed Hospital, UAE.
Please see the link here: https://stm.bookpi.org/CIMMS-V1/article/view/8101
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