Thyrotoxic Periodic Paralysis In A 66 Year Old Diabetic Nigerian Woman: Adiagnostic Dilemma
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Background: Thyrotoxic Periodic Paralysis(TPP) is a potentially deadly complication of hyperthyroidism characterized by varying severity of muscle weakness to paralysis and hypokalemia. Clinical features of hyperthyroidism in patients with TPP may be subtle. Case Report: Mrs O.O is a 66 year old woman who presented with progressive weakness of the upper and lower limb for three days, with a prior history of diarrhea for a day. She was previously diagnosed with hyperthyroidism, diabetes and hypertension. On examination, she had mild anterior neck swelling, reduced muscle power, tone and reflexes of the upper and lower limbs with normal muscle bulk. She was successfully managed with Potassium replacement and anti-thyroid medication. Conclusion: Thyrotoxic Periodic Paralysis can be treated adequately and promptly to avoid complications , a high index of suspicion is needed to make a diagnosis.
Authors and Affiliations
Onwuegbuzie Gerald A, RengRifkatu S.
Keywords
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