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Thyrotoxic Periodic Paralysis Associated with Transient Thyrotoxicosis Due to Painless Thyroiditis

Journal of Korean Medical Science 2012³â 27±Ç 7È£ p.822 ~ 826
¿À»óº¸, ¾ÈÁøÈñ, ¿À¹Î¿µ, Choi Bo-Gwang, °­Áö¿¬, ÀüÀ±°æ, ±è»ó¼ö, ±èº¸Çö, ±è¿ë±â, ±èÀÎÁÖ,
¼Ò¼Ó »ó¼¼Á¤º¸
¿À»óº¸ ( Oh Sang-Bo ) 
Pusan National University College of Medicine Department of Internal Medicine

¾ÈÁøÈñ ( Ahn Jin-hee ) 
Pusan National University College of Medicine Department of Internal Medicine
¿À¹Î¿µ ( Oh Min-Young ) 
Pusan National University College of Medicine Department of Internal Medicine
 ( Choi Bo-Gwang ) 
Pusan National University College of Medicine Department of Internal Medicine
°­Áö¿¬ ( Kang Ji-Hyun ) 
Pusan National University School of Medicine Department of Internal Medicine
ÀüÀ±°æ ( Jeon Yun-Kyung ) 
Pusan National University School of Medicine Department of Internal Medicine
±è»ó¼ö ( Kim Sang-Soo ) 
Pusan National University School of Medicine Department of Internal Medicine
±èº¸Çö ( Kim Bo-Hyun ) 
Pusan National University School of Medicine Department of Internal Medicine
±è¿ë±â ( Kim Yong-Ki ) 
Kim Yong Ki Internal Medicine Clinic
±èÀÎÁÖ ( Kim In-Joo ) 
Pusan National University School of Medicine Department of Internal Medicine

Abstract


Thyrotoxic periodic paralysis (TPP) is a rare manifestation of hyperthyroidism characterized by muscle weakness and hypokalemia. All ethnicities can be affected, but TPP typically presents in men of Asian descent. The most common cause of TPP in thyrotoxicosis is Graves' disease. However, TPP can occur with any form of thyrotoxicosis. Up to our knowledge, very few cases ever reported the relationship between TPP and painless thyroiditis. We herein report a 25-yr-old Korean man who suffered from flaccid paralysis of the lower extremities and numbness of hands. The patient was subsequently diagnosed as having TPP associated with transient thyrotoxicosis due to painless thyroiditis. The paralytic attack did not recur after improving the thyroid function. Therefore, it is necessary that early diagnosis of TPP due to transient thyrotoxicosis is made to administer definite treatment and prevent recurrent paralysis.

Å°¿öµå

Thyrotoxic Hypokalemic Periodic Paralysis; Painless Thyroiditis; Thyrotoxicosis

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