Hypokalemic paralysis in hyperthyroidism: Not all that glitter are gold

Wen-Fang Chiang; Jenq-Shyong Chan; Kun-Lin Wu; Shih-Hua Lin

doi:10.1002/ccr3.3754

Hypokalemic paralysis in hyperthyroidism: Not all that glitter are gold

Clin Case Rep. 2021 Jan 7;9(3):1283-1287. doi: 10.1002/ccr3.3754. eCollection 2021 Mar.

Authors

Wen-Fang Chiang^{1

2}, Jenq-Shyong Chan^{1

2}, Kun-Lin Wu^{1

2}, Shih-Hua Lin²

Affiliations

¹ Division of Nephrology Department of Medicine Armed Forces Taoyuan General Hospital Taoyuan Taiwan.
² Division of Nephrology Department of Medicine Tri-Service General Hospital National Defense Medical Center Taipei Taiwan.

Abstract

Abnormal acid-base status (metabolic acidosis or alkalosis), inappropriate urine electrolytes excretion (high or low Na⁺ and Cl^-), and higher required dose of potassium supplement (4-5 mmol/kg) are suggestive of non-TPP causes of hypokalemia.

Keywords: acid‐base; electrolytes; hyperthyroidism; hypokalemia; paralysis; urine.

Publication types

Case Reports