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A Case of Nonfatal Ventricular Arrhythmia Due to Thyrotoxic Periodic Paralysis in a Saudi Patient as an Initial Presentation of Graves’ Disease
| Content Provider | SAGE Publishing |
|---|---|
| Author | Hakami, Osamah Ahmad, Maswood M. Johani, Naji Al |
| Copyright Year | 2016 |
| Abstract | Thyrotoxic periodic paralysis (TPP) is a potentially lethal complication of hyperthyroidism characterized by recurrent muscle weakness and hypokalemia. It has been commonly reported in non-Asian populations. Four cases were reported in Saudis so far, and one had a life-threatening arrhythmia. We describe an additional case of a 28-year-old apparently healthy Saudi male patient, who presented with acute paraparesis associated with hypokalemia (K: 2.0 mmol/L), complicated by ventricular tachycardia and cardiac arrest. He was successfully resuscitated and his hypokalemia was corrected. A diagnosis of Graves’ disease associated with TPP was made. He was initially treated with carbimazole and β-blockers and then given a definitive therapy with radioactive iodine, which showed a good response. This case highlights the importance of early recognition and prompt treatment of TPP as a differential diagnosis for muscle weakness. A brief review of TPP and associated arrhythmia is included. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.4137/CCRep.S34560?download=true |
| ISSN | 11795476 |
| Volume Number | 9 |
| Journal | Clinical Medicine Insights: Case Reports (ICR) |
| e-ISSN | 11795476 |
| DOI | 10.4137/CCRep.S34560 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2016-01-28 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © 2016 SAGE Publications. |
| Subject Keyword | arrhythmia thyrotoxicosis hypokalemia ventricular tachycardia Graves’ disease thyrotoxic periodic paralysis hyperthyroidism |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
