Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 218-220

Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis


1 Department of Endocrinology, KPC Medical College and Hospital, 1F, Raja Subodh Chandra Mullick Road, Jadavpur, Kolkata, West Bengal, India
2 Department of General Medicine, Peerless Hospital, 95/B, Indra Biswas Road, Kolkata, India

Correspondence Address:
Shakya Bhattacharjee
Registrar in General Medicine, Peerless Hospital, 95/B, Indra Biswas Road, Kolkata- 700 037
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.112471

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Silent thyroiditis is a rare cause of thyrotoxic periodic paralysis. The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 weeks back. On examination he was found to have hypokalemia secondary to thyrotoxicosis. Clinically there were no features of thyrotoxicosis or thyroiditis. He was initially treated with intravenous and later oral potassium supplementation and propranolol. At 8 weeks of follow-up his thyroid profile became normal and his propranolol was stopped. He had no further recurrence of paralysis. He was diagnosed as a case silent thyroiditis presenting as thyrotoxic periodic paralysis. In cases of recurrent or acute flaccid muscle paralysis, it is important to suspect thyrotoxicosis, even if asymptomatic. Definitive treatment of thyrotoxicosis prevents recurrence.


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