[Thyrotoxic hypokalemic periodic paralysis in patients of African descent].
Thyrotoxic hypokalemic periodic paralysis (THPP) is an endocrine emergency marked by recurrent attacks of muscle weakness associated with hypokalemia and thyrotoxicosis. Asiatic male patients are most often affected. On the other hand, African descents rarely present this disease. The case described shows an afrodescendant patient with hypokalemia and tetraparesis, whose diagnosis of hyperthyroidism was considered during this crisis. The THPP, although rare, is potentially lethal. Therefore, in cases of flaccid paresis crisis this diagnosis should always be considered, especially if associated with hypokalemia. In this situation, if no previous diagnosis of hyperthyroidism, this should also be regarded.
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil.
Morgana Lima e
ML
Maia
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil.
Paula Grasiele Carvalho
PG
Trevisam
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil.
Marcos
M
Minicucci
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil.
Glaucia M F S
GM
Mazeto
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil.
Paula S
PS
Azevedo
D000328:Adult; D003937:Diagnosis, Differential; D006111:Graves Disease / Q000175:diagnosis*; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis*; D007008:Hypokalemia / Q000097:blood; D020514:Hypokalemic Periodic Paralysis / Q000175:diagnosis* / Q000208:ethnology; D008297:Male; D018908:Muscle Weakness / Q000175:diagnosis; D010291:Paresis / Q000175:diagnosis; D011188:Potassium / Q000097:blood
D011188:Potassium