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KMID : 1202020110040020123
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Journal of Korean Thyroid Association
2011 Volume.4 No. 2 p.123 ~ p.126
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A Case of 36-Year-Old Man with Normokalemic Thyrotoxic Periodic Paralysis
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Kim Hee-Jin
Jung Tae-Sik
Hahm Jong-Ryeal
Jung Jung-Hwa
Kim Soo-Kyung
Lee Sang-Min
Lee Sang-Su
Kim Ho-Su
Kim Sung-Su
Chung Soon-Il
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Abstract
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Thyrotoxic periodic paralysis is not a rare complication of hyperthyroidism in Asian people, but the cases of paralysis with normal serum potassium levels are very rare. A 36-year-old Korean man who had been diagnosed with Graves’ disease had experienced recurrent paralysis for 9 months in spite of normokalemia. We measured the patient’s serum potassium levels nine times at the time of paralysis. All measurements fell in the range 3.3∼4.7 mmol/L. We treated the patient with methimazole, Lugol’s solution, beta-blockers, and radioactive iodine. Thyroid function was normalized after anti-thyroid treatment and then no further paralytic attacks have occurred.
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KEYWORD
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Graves’ disease, Paralysis, Thyrotoxicosis
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