Normokalemic Thyrotoxic Periodic Paralysis with Acute Resolution in the Emergency Department
Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a...
Saved in:
| Published in: | Clinical practice and cases in emergency medicine Vol. 1; no. 2; pp. 129 - 131 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
01-05-2017
eScholarship Publishing, University of California |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED. |
|---|---|
| AbstractList | Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED. |
| Author | Gragg, James I Mellick, Larry B Federico, Massimo |
| AuthorAffiliation | Augusta University Medical Center, Department of Emergency Medicine, Augusta, Georgia Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas |
| AuthorAffiliation_xml | – name: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas – name: Augusta University Medical Center, Department of Emergency Medicine, Augusta, Georgia |
| Author_xml | – sequence: 1 givenname: James I surname: Gragg fullname: Gragg, James I organization: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas – sequence: 2 givenname: Massimo surname: Federico fullname: Federico, Massimo organization: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas – sequence: 3 givenname: Larry B surname: Mellick fullname: Mellick, Larry B organization: Augusta University Medical Center, Department of Emergency Medicine, Augusta, Georgia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29849397$$D View this record in MEDLINE/PubMed |
| BookMark | eNpVkdFO2zAUhq2JCRjjBXYx5QXa-ZzEjn0zCTG2ISGGEJN2gWQ59nFrlsSVk7L17Ze2A8GVf9n6P_v4e8cO-tQTYx-Az4UC-ORWjro5cqjnMC9LBHjDjrGqqxkK_HXwIh-x02F44JyDUlBLdciOUKtKl7o-ZvfXKXfpt22pi664W25yGtPfKd5Qjslvg8223QxxKP7EcVmcufVIxS0NqV2PMfVF7ItxScVFR3lBvdsUX2hl89hRP75nb4NtBzr9v56wn18v7s6_z65-fLs8P7uaOVQcZlZYRCEwSF46CFwHrTxXjfAUFAkbuFC-IdSuslbWQoKXmlMJHJ3wzpcn7HLP9ck-mFWOnc0bk2w0u42UF2Z6UXQtmZJULRFdo5GqStbN9EsAIUgE6VQdJtbnPWu1bjrybhpjmv8V9PVJH5dmkR6N0FJUUE0A3ANcTsOQKTx3gZutOrNTZ7bqDJiduqn08eWtz5UnUeU_RmKZ3Q |
| CitedBy_id | crossref_primary_10_1002_ccr3_4849 crossref_primary_10_5811_cpcem_2019_11_44966 |
| Cites_doi | 10.1097/00005792-199205000-00001 10.1016/j.ajem.2004.09.016 10.1016/j.jemermed.2011.05.090 10.1089/thy.2008.0232 10.1210/jc.2006-0356 10.1681/ASN.2012010046 10.1053/ajkd.2001.22090 |
| ContentType | Journal Article |
| Copyright | 2017 Gragg et al. 2017 |
| Copyright_xml | – notice: 2017 Gragg et al. 2017 |
| DBID | NPM AAYXX CITATION 5PM DOA |
| DOI | 10.5811/cpcem.2017.1.33211 |
| DatabaseName | PubMed CrossRef PubMed Central (Full Participant titles) Directory of Open Access Journals |
| DatabaseTitle | PubMed CrossRef |
| DatabaseTitleList | PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health |
| EISSN | 2474-252X |
| EndPage | 131 |
| ExternalDocumentID | oai_doaj_org_article_3e87622cb92e4467b47411ff6216c87f 10_5811_cpcem_2017_1_33211 29849397 |
| Genre | Case Reports |
| GroupedDBID | 7X7 8FI 8FJ ABUWG ADBBV AFKRA ALMA_UNASSIGNED_HOLDINGS AOIJS AUK BCNDV BENPR CCPQU FYUFA GROUPED_DOAJ HMCUK HYE M~E NPM OK1 PGMZT PIMPY PQQKQ PROAC RPM UKHRP AAYXX CITATION 5PM |
| ID | FETCH-LOGICAL-c2801-a5a22552f603c1f09f98d08b5def8e5af058dbe29c4aa67561d690e3102c5dcd3 |
| IEDL.DBID | RPM |
| ISSN | 2474-252X |
| IngestDate | Tue Oct 22 15:15:07 EDT 2024 Tue Sep 17 21:25:42 EDT 2024 Fri Aug 23 01:48:16 EDT 2024 Sat Sep 28 08:33:42 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Language | English |
| License | This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0 |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c2801-a5a22552f603c1f09f98d08b5def8e5af058dbe29c4aa67561d690e3102c5dcd3 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965414/ |
| PMID | 29849397 |
| PageCount | 3 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_3e87622cb92e4467b47411ff6216c87f pubmedcentral_primary_oai_pubmedcentral_nih_gov_5965414 crossref_primary_10_5811_cpcem_2017_1_33211 pubmed_primary_29849397 |
| PublicationCentury | 2000 |
| PublicationDate | 2017-May |
| PublicationDateYYYYMMDD | 2017-05-01 |
| PublicationDate_xml | – month: 05 year: 2017 text: 2017-May |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Clinical practice and cases in emergency medicine |
| PublicationTitleAlternate | Clin Pract Cases Emerg Med |
| PublicationYear | 2017 |
| Publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine eScholarship Publishing, University of California |
| Publisher_xml | – name: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine – name: eScholarship Publishing, University of California |
| References | Lu (key20170503173714_b5-cpcem-01-129) 2004; 22 Wang (key20170503173714_b6-cpcem-01-129) 2013; 44 Wu (key20170503173714_b1-cpcem-01-129) 2008; 18 Lin (key20170503173714_b3-cpcem-01-129) 2012; 23 Ober (key20170503173714_b2-cpcem-01-129) 1992; 71 Lin (key20170503173714_b8-cpcem-01-129) 2001; 37 Chakrabarti (key20170503173714_b4-cpcem-01-129) 2015; 9 Kung (key20170503173714_b7-cpcem-01-129) 2006; 91 |
| References_xml | – volume: 71 start-page: 109 year: 1992 ident: key20170503173714_b2-cpcem-01-129 article-title: Thyrotoxic periodic paralysis in the United States. Report of 7 cases and review of the literature publication-title: Medicine doi: 10.1097/00005792-199205000-00001 contributor: fullname: Ober – volume: 22 start-page: 544 issue: 7 year: 2004 ident: key20170503173714_b5-cpcem-01-129 article-title: Effects of potassium supplementation on the recovery of thyrotoxic periodic paralysis publication-title: Am J Emerg Med doi: 10.1016/j.ajem.2004.09.016 contributor: fullname: Lu – volume: 44 start-page: 61 issue: 1 year: 2013 ident: key20170503173714_b6-cpcem-01-129 article-title: Complete heart block during potassium therapy in thyrotoxic periodic paralysis publication-title: J Emerg Med doi: 10.1016/j.jemermed.2011.05.090 contributor: fullname: Wang – volume: 18 start-page: 1321 issue: 12 year: 2008 ident: key20170503173714_b1-cpcem-01-129 article-title: Thyrotoxic periodic paralysis complicated by acute hypercapnic respiratory failure and ventricular tachycardia publication-title: Thyroid doi: 10.1089/thy.2008.0232 contributor: fullname: Wu – volume: 91 start-page: 2490 issue: 7 year: 2006 ident: key20170503173714_b7-cpcem-01-129 article-title: Thyrotoxic periodic paralysis: a diagnostic challenge publication-title: J Clin Endocrinol Metabol doi: 10.1210/jc.2006-0356 contributor: fullname: Kung – volume: 23 start-page: 985 issue: 6 year: 2012 ident: key20170503173714_b3-cpcem-01-129 article-title: Mechanism of thyrotoxic periodic paralysis publication-title: J Am Soc Nephrol doi: 10.1681/ASN.2012010046 contributor: fullname: Lin – volume: 9 start-page: OD05 issue: 2 year: 2015 ident: key20170503173714_b4-cpcem-01-129 article-title: Normokalemic thyrotoxic periodic paralysis with preserved reflexes-a unique case report publication-title: J Clin Diagn Res contributor: fullname: Chakrabarti – volume: 37 start-page: 620 issue: 3 year: 2001 ident: key20170503173714_b8-cpcem-01-129 article-title: Propranolol rapidly reverses paralysis, hypokalemia, and hypophosphatemia in thyrotoxic periodic paralysis publication-title: Am J Kidney Dis doi: 10.1053/ajkd.2001.22090 contributor: fullname: Lin |
| SSID | ssj0001881768 |
| Score | 2.039696 |
| Snippet | Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute... |
| SourceID | doaj pubmedcentral crossref pubmed |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database |
| StartPage | 129 |
| SubjectTerms | Case Report |
| SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3NS8MwFA-6kyDit_WLHLxJtUmbNjlO3dhpCE7YQSjNFxOxHXMD_e99Sbaxnrx4C2lo0vde8j763i8I3VRJpYQC4dVwQsZZTlUs3T9XoYXkFAx0rV1oYPBSDMf8qedgctZXfbmcsAAPHAh3nxq3X6mSghpwXQqZgQ4k1uaU5DCH9advUmw4Uz66wjkpfB0chfExZXQcKmYYJ-ReTZVxVeikuCN3aUoJaWklD96_oZHa2ZIb6qe_j_aWdiPuhvUeoC1TH6LdEHTDoZboCL0NwQJtPuDM_4Te0eRn1sybb2g-g5w12jWqWQAhwS4Ai7tqMTfYhfCDAOL3GoNFiHurokz8BOpq5jPRj9Frvzd6HMTL6xNiRUHvxBWrYLMyavMkVcQmwgquEy6ZNpYbVtmEcS0NFSqrKvAbcqLBVTZg71HFtNLpCerUTW3OEAZvtXBgdIKZPCtkLrWlVgtFuLTaShqh2xX5ymlAySjBu3DELj2xS0fskpSe2BF6cBRej3QI174D-F4u-V7-xfcInQa2rF9DBc8EmFcRKloMa83TflK_TzyiNhP-OvTz_1jYBdpxHxuSIi9RZz5bmCu0_aUX115GfwEU5eoi priority: 102 providerName: Directory of Open Access Journals |
| Title | Normokalemic Thyrotoxic Periodic Paralysis with Acute Resolution in the Emergency Department |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/29849397 https://pubmed.ncbi.nlm.nih.gov/PMC5965414 https://doaj.org/article/3e87622cb92e4467b47411ff6216c87f |
| Volume | 1 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT-MwEB5tOSEhxGuhLCAfuKG0sRMn9pFHERcQ0oLEYaUofi3VbpMq20q7_37HdoPaK7fIec9MPPNNZj4DXNZpraVG4zU4QyZ5wXSi_D9XaaQSDAN0Y3xq4OF7-fQm7iaeJof3vTChaF-r6aj5PRs10_dQWzmf6XFfJzZ-frzlMqxePR7AAGPDNYgeEitCUIyhY4MMF5SO9Vxb33ROyxEdZRlCHk8BLEUuM8_1tOaPAm3_mi_arJNcczz3e7C7ihjJdXyyffhimwPYiek2EruIDuHHE8ae7S-c7Wc4-vL-r2sX7V_cfEYLa43fqLtIP0J86pVc6-XCEp-8j6ZHpg3BWJBM-nZMcoeOqgs16Efwej95uX1IVgsnJJqhx0lqXuNnypkr0kxTl0onhUmF4sY6YXntUi6MskzqvK4RMRTUIEi2GOkxzY022VfYatrGngBBnFp6GjrJbZGXqlDGMWekpkI54xQbwlUvvmoe-TEqxBVe7lWQe-XlXtEqyH0IN17CH0d6busw0HY_q5WGq8z6GZppJZlFsFqqHKMe6lzBaIFW5YZwHNXycZlel0MoNxS2cZ_NPWhagUt7ZUqnnz7zG2z7N4w1kGewteiW9hwGf8zyIuD7i2Cd_wEy2uqV |
| link.rule.ids | 230,315,729,782,786,866,887,2107,27934,27935,53802,53804 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFD5i4wGkCcZ1ZQz8wBtKGztxYj_u0qmIrZpEkXhAsuLbVkGTKrQS_HuOnWZqX_dmOXd_xz6XnPMZ4FOVVkYaFF6LK2SSF8wkOvxzlVZqwdBAtzaEBibfyukPcTEONDm8r4WJSftGz4f178Wwnt_F3Mrlwoz6PLHRzfU5l3H36tEePMb5mrItJz2GVoSgaEV3JTJcUDoyS-NC2Tkth3SYZej0BBJgKXKZBbanLY0Uifu3tNFupuSW6rl8_sCXPoRnG1uTnHaHX8AjV7-Egy5QR7r6o1fwc4pWa_ML9cQCe2d3_9pm1fzF5g3KZmNDo2o74hISgrbk1KxXjoSwfye0ZF4TtCLJuC_kJBeo4tqYvf4avl-OZ-eTZLPlQmIY6qqk4hVOcM58kWaG-lR6KWwqNLfOC8crn3JhtWPS5FWFvkZBLbrXDm1EZrg1NnsD-3VTuyMg6OGWgcBOclfkpS609cxbaajQ3nrNBvC5H3a17Jg1FHokAS8V8VIBL0VVxGsAZwGZ-zMDK3bsaNpbtRlmlbmwtjOjJXPo5pY6R3uJel8wWqA8-gG87eC8v00vAwMod4Deec7uEcQ3snBv8Hz34Cs_wpPJ7PpKXX2Zfj2Gp-Fru0zK97C_atfuBPb-2PWHKNv_ARA4_yw |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lj9MwEB6xi4SQEMubsgv4wA2liZ04sY-721aLgKoSi8QByYpfuxU0qUIrwb9n7LRVe4Vb5Dgvf2PPIzOfAd7VWW2kQeG1uEImRclMosM_V2mlFgwNdGtDaODqSzX9JkbjQJOz2-orJu0bPR82PxfDZn4bcyuXC5Nu88TS2edLLuPu1enS-vQI7uKczYo9Rz2GV4SgaEn3ZTJcUJqapXGh9JxWQzrMc3R8AhGwFIXMA-PTnlaK5P17GukwW3JP_UxO_uPFH8HDjc1Jzvsuj-GOa57Agz5gR_o6pKfwfYrWa_sD9cUCW69v_3Ttqv2NhzOU0daGg7rrCUxICN6Sc7NeORLC_73wknlD0Jok421BJxmhqutiFvsz-DoZX19eJZutFxLDUGclNa9xonPmyyw31GfSS2Ezobl1Xjhe-4wLqx2Tpqhr9DlKatHNdmgrMsOtsflzOG7axr0Egp5uFYjsJHdlUelSW8-8lYYK7a3XbADvt0Ovlj3DhkLPJGCmImYqYKaoipgN4CKgs-sZ2LFjQ9vdqM1Qq9yFNZ4ZLZlDd7fSBdpN1PuS0RLl0g_gRQ_p7jZbORhAdQD2wXMOzyDGkY17g-mrf77yLdybjSbq04fpx1O4Hz62T6g8g-NVt3av4eiXXb-J4v0XFMQBuw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Normokalemic+Thyrotoxic+Periodic+Paralysis+with+Acute+Resolution+in+the+Emergency+Department&rft.jtitle=Clinical+practice+and+cases+in+emergency+medicine&rft.au=Gragg%2C+James+I.&rft.au=Federico%2C+Massimo&rft.au=Mellick%2C+Larry+B.&rft.date=2017-05-01&rft.pub=University+of+California+Irvine%2C+Department+of+Emergency+Medicine+publishing+Western+Journal+of+Emergency+Medicine&rft.eissn=2474-252X&rft.volume=1&rft.issue=2&rft.spage=129&rft.epage=131&rft_id=info:doi/10.5811%2Fcpcem.2017.1.33211&rft_id=info%3Apmid%2F29849397&rft.externalDBID=PMC5965414 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2474-252X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2474-252X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2474-252X&client=summon |