Thyrotoxic periodic paralysis after urethral dilatation
Thyrotoxic periodic paralysis (TPP) is a rare and serious manifestation of thyrotoxicosis that causes flaccid paralysis. In severe cases, it can be life-threatening due to respiratory failure and cardiac arrhythmias. TPP is due to increased sodium/potassium ATPase activity during thyrotoxic states,...
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Wolters Kluwer Medknow Publications
2020-10-01
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_54_20 |
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doaj-ebc8af4841be41b4ad8f530dc36dec332021-08-04T22:41:59ZengWolters Kluwer Medknow PublicationsAvicenna Journal of Medicine2231-07702249-44642020-10-01100424925110.4103/ajm.ajm_54_20Thyrotoxic periodic paralysis after urethral dilatationMoayyad Alziadat0Mourad Ismail1Department of Critical Care Medicine, St Joseph’s University Medical Center, Paterson, New Jersey, USADepartment of Critical Care Medicine, St Joseph’s University Medical Center, Paterson, New Jersey, USAThyrotoxic periodic paralysis (TPP) is a rare and serious manifestation of thyrotoxicosis that causes flaccid paralysis. In severe cases, it can be life-threatening due to respiratory failure and cardiac arrhythmias. TPP is due to increased sodium/potassium ATPase activity during thyrotoxic states, which is due to mutations encoding potassium channels. It is precipitated by situations that cause a surge in catecholamines, insulin, or both. It can be treated with potassium supplementation and nonselective beta blockers, and it can be prevented by establishing euthyroid state. With the increasing numbers of outpatient procedures performed nowadays and the stress related to these procedures, patients with TPP may develop paralysis after these procedures, so clinicians should be aware of this condition and the importance of identifying it in patients presenting with flaccid paralysis.http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_54_20hypokalemiaparalysisperiodicthyrotoxicthyrotoxicosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Moayyad Alziadat Mourad Ismail |
spellingShingle |
Moayyad Alziadat Mourad Ismail Thyrotoxic periodic paralysis after urethral dilatation Avicenna Journal of Medicine hypokalemia paralysis periodic thyrotoxic thyrotoxicosis |
author_facet |
Moayyad Alziadat Mourad Ismail |
author_sort |
Moayyad Alziadat |
title |
Thyrotoxic periodic paralysis after urethral dilatation |
title_short |
Thyrotoxic periodic paralysis after urethral dilatation |
title_full |
Thyrotoxic periodic paralysis after urethral dilatation |
title_fullStr |
Thyrotoxic periodic paralysis after urethral dilatation |
title_full_unstemmed |
Thyrotoxic periodic paralysis after urethral dilatation |
title_sort |
thyrotoxic periodic paralysis after urethral dilatation |
publisher |
Wolters Kluwer Medknow Publications |
series |
Avicenna Journal of Medicine |
issn |
2231-0770 2249-4464 |
publishDate |
2020-10-01 |
description |
Thyrotoxic periodic paralysis (TPP) is a rare and serious manifestation of thyrotoxicosis that causes flaccid paralysis. In severe cases, it can be life-threatening due to respiratory failure and cardiac arrhythmias. TPP is due to increased sodium/potassium ATPase activity during thyrotoxic states, which is due to mutations encoding potassium channels. It is precipitated by situations that cause a surge in catecholamines, insulin, or both. It can be treated with potassium supplementation and nonselective beta blockers, and it can be prevented by establishing euthyroid state. With the increasing numbers of outpatient procedures performed nowadays and the stress related to these procedures, patients with TPP may develop paralysis after these procedures, so clinicians should be aware of this condition and the importance of identifying it in patients presenting with flaccid paralysis. |
topic |
hypokalemia paralysis periodic thyrotoxic thyrotoxicosis |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_54_20 |
work_keys_str_mv |
AT moayyadalziadat thyrotoxicperiodicparalysisafterurethraldilatation AT mouradismail thyrotoxicperiodicparalysisafterurethraldilatation |
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1721221729382039552 |