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KMID : 0191120120270070822
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Journal of Korean Medical Science
2012 Volume.27 No. 7 p.822 ~ p.826
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Thyrotoxic Periodic Paralysis Associated with Transient Thyrotoxicosis Due to Painless Thyroiditis
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Oh Sang-Bo
Ahn Jin-hee
Oh Min-Young
Choi Bo-Gwang
Kang Ji-Hyun
Jeon Yun-Kyung
Kim Sang-Soo
Kim Bo-Hyun
Kim Yong-Ki
Kim In-Joo
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Abstract
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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.
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KEYWORD
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Thyrotoxic Hypokalemic Periodic Paralysis, Painless Thyroiditis, Thyrotoxicosis
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