A rare case of thyrotoxic periodic paralysis presenting to the medical examiner

Matthew P. Thompson, J. Keith Pinckard

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Thyrotoxic periodic paralysis is a rare and dramatic complication of hyperthyroidism. Thyrotoxic periodic paralysis classically presents with proximal lower limb weakness in the setting of hypokalemia and thyrotoxicosis. Thyrotoxic periodic paralysis represents an endocrine emergency with a rapidly ascending paralysis that can result in respiratory insufficiency, cardiac arrhythmias, and death if not accurately and rapidly diagnosed. We report a case of undiagnosed fatal thyrotoxic periodic paralysis presenting to the medical examiner. The diagnosis was made primarily by review of the clinical history.

Original languageEnglish (US)
Pages (from-to)232-235
Number of pages4
JournalAmerican Journal of Forensic Medicine and Pathology
Volume32
Issue number3
DOIs
StatePublished - Sep 2011

Fingerprint

Coroners and Medical Examiners
Paralysis
Thyrotoxicosis
Hypokalemia
Hyperthyroidism
Respiratory Insufficiency
Cardiac Arrhythmias
Lower Extremity
Emergencies

Keywords

  • Ascending paralysis
  • Autopsy
  • Hyperthyroid
  • Hypokalemia
  • Sudden death
  • Thyrotoxic periodic paralysis
  • Thyrotoxicosis

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medicine(all)

Cite this

A rare case of thyrotoxic periodic paralysis presenting to the medical examiner. / Thompson, Matthew P.; Pinckard, J. Keith.

In: American Journal of Forensic Medicine and Pathology, Vol. 32, No. 3, 09.2011, p. 232-235.

Research output: Contribution to journalArticle

Thompson, Matthew P. ; Pinckard, J. Keith. / A rare case of thyrotoxic periodic paralysis presenting to the medical examiner. In: American Journal of Forensic Medicine and Pathology. 2011 ; Vol. 32, No. 3. pp. 232-235.
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