Fatal thyrotoxic periodic paralysis with normokalemia.

Abstract:

:We present a 10-year-old girl who presented to our emergency services with difficulty in breathing of 2-days duration and progressive weakness of a month's duration. In a previous admission elsewhere, she had not been detected to have hyperthyroidism or electrolyte abnormalities. On admission, the child was in hypercapnic respiratory failure with tachycardia and hepatomegaly. A small goiter as well as signs of thyrotoxicosis were present. Laboratory investigations showed anemia, mildly elevated liver enzymes and serum potassium of 4.8mEq/L. Despite intubation and ventilation and other supportive management including propranolol, the patient could not be saved. Post-mortem biopsy of the thyroid showed diffuse hyperplasia of the follicles and muscles showed evidence of thyroid myopathy.

journal_name

Indian J Pediatr

authors

Satam N,More V,Shanbag P,Kalgutkar A

doi

10.1007/s12098-007-0194-8

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

1041-3

issue

11

eissn

0019-5456

issn

0973-7693

journal_volume

74

pub_type

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