Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report

Authors

  • Anamaria de Araujo Falcão Amaral Médica Residente de Clínica Médica do Hospital Regional de Sobradinho
  • Bruno Beust Quint Médico Residente de Clínica Médica do Hospital Regional de Sobradinho
  • Pedro Almeida Martins Pontes Escola Superior de Ciências da Saúde
  • Tania Renata Lopes Falcão SES/DF

DOI:

https://doi.org/10.51723/hrj.v3i16.255

Keywords:

Thyrotoxic hypokalemic periodic paralysis, Thyrotoxicosis; Hypokalemia; Hyperthyroidism; Goiter

Abstract

Objective: To describe the clinical picture of a 35-year-old patient who presented with hypokalemic periodic paralysis due to thyrotoxicosis, followed by cardiac arrhythmia in an
emergency room. The patient had no previous diagnosis of hyperthyroidism.

Case report: Male patient, x years, with no previous diagnosis of hyperthyroidism, was admitted to the emergency room with flaccid tetraparesis. Five hours after admission, he developed sudden worsening of symptoms and unstable supraventricular tachycardia due to hypokalemia. The condition was reversed and, one month after the episode, he presented a new condition of paresisin the lower limbs, when he was diagnosed with hypokalemic periodic paralysis due to thyrotoxicosis.

Conclusion: The fast identification of thyrotoxic hypokalemic periodic paralysis is of fundamental importance, as the patient may have an unfavorable evolution, with imminent risk of death. Improvement occurs after correction of hypokalemia, which must be promptly identified.

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Published

2022-07-12

How to Cite

de Araujo Falcão Amaral, A., Beust Quint, B. ., Almeida Martins Pontes, P. ., & Lopes Falcão, T. R. . (2022). Thyrotoxic hypokalemic periodic paralysis with cardiac arrhythmia: case report. Health Residencies Journal - HRJ, 3(16), 1–10. https://doi.org/10.51723/hrj.v3i16.255

Issue

Vol. 3 No. 16 (2022): Acompanhamento e avaliação do desenvolvimento infantil - Eixos referenciais para todas as atividades de atenção à criança e ao adolescente sob os aspectos biológico, afetivo, psíquico e social

Section

Relato de caso

License

Copyright (c) 2022 Anamaria de Araujo Falcão Amaral, Bruno Beust Quint, Pedro Almeida Martins Pontes, Tania Renata Lopes Falcão

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