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[Hypokalaemia and paralysis: think about the thyroid].
Rev Med Interne
February 2008
Service de médecine interne, hôpital Ambroise-Paré, Assistance Publique-Hôpitaux de Paris, université Versailles-Saint-Quentin-en-Yvelines, 92104 Boulogne-Billancourt, France.
Periodic hypokalemic paralysis can be of genetic origin or secondary to other causes of hypokalaemia. The thyreotoxic hypokalemic periodic paralysis (THPP) usually occurs among asian subjects. It is a diagnostic and therapeutic emergency which may lead to life-threatening complications due to hypokalaemia and muscle weakness.
View Article and Find Full Text PDF[Thyreotoxic periodic paralysis. A cause of pseudo-paralysing hypokalemia that should not be ignored in Caucasians].
Presse Med
August 2003
Service de réanimation métabolique, CHU Lapeyronie, Montpellier.
Introduction: Despite its rare occurrence in Caucasians, thyreotoxic periodic paralysis should be evoked in young male Caucasians presenting with episodes of pseudo-paralytic hypokalemia.
Observation: A 37 year-old Caucasian was admitted in intensive care for an acute episode of hypotonic tetraplegia and hypokalemia during which laboratory tests revealed hyperthyroidism due to Basedow's disease. The clinical course was rapidly favourable after a small dose of intravenous potassium.
[Thyrotoxic periodic paralysis: two new cases in Blacks].
Rev Med Interne
July 2000
Service de médecine interne, CHU Pierre-Zobda-Qitman, Fort-de-France, France.
Introduction: Thyreotoxic hypokalemic periodic paralysis (THPP) has mainly been described in Asian people. It is rare in Caucasians, and only 12 cases were reported in Blacks.
Exegesis: We report two cases of THPP in black patients.
[Thyrotoxic neuromyopathies].
Rev Neurol (Paris)
May 1998
Service de Médecine Interne, Centre Marc Sankale, Hôpital Abass Ndao, Sénégal.
Chronic thyreotoxic neuromyopathy was observed in four patients. The first two cases were observed in a 43-year-old woman and a 60-year-old man. In the man, muscle disorders were the first manifestation and in the woman they were preceded by Graves' hyperthyroidism.
View Article and Find Full Text PDFThe author presents a practical guide for diagnosis and management of some common emergencies. The most common are hypoglycaemia in persons with diabetes, diabetic ketoacidosis and non-ketotic hyperosmolar diabetic coma. Acute adrenocortical failure is also quite common.
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