Hypokalemic thyrotoxic periodic paralysis: clinical characteristics and predictors of recurrent paralytic attacks
Abstract
Background and purpose: To study the clinical characteristics of hypokalemic thyrotoxic periodic paralysis (hoTPP) and identify the predictors of recurrent paralytic attacks before achieving the euthyroid status. Methods: We retrospectively analyzed 45 hoTPP patients who were admitted during the 7‐year study period. Results: A tendency towards male predominance was observed among the 45 patients (91.1%, 41/45). The mean onset age was 32.9 ± 10.0 years (range: 16–54 years). No significant differences were observed in the onset age between male and female patients. Precipitating factors included rest/sleep at night, hot weather, upper respiratory tract infections (URIs), and excessive physical activities. Atypical weakness was observed in nine (20%, 9/45) patients. One patient initially diagnosed with sporadic periodic paralysis eventually developed hoTPP. Discussion: In provocative tests, hypokalemia was not a consistent finding during paralytic attacks. Before achieving the euthyroid status, the rate of recurrent attacks was as high as 62.2%, and peaked in the first 3 months after hoTPP was diagnosed. Patients with URIs exhibited a higher incidence of recurrent paralytic attacks than those without (odds ratio = 13.00; 95% confidence interval = 1.08–156.08; P = 0.04).
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Mild myalgia is a complaint in less than half of patients with TPP.
“Mild myalgia is a complaint in less than half of patients [21].”
From Thyrotoxic Periodic Paralysis: Clinical Challenges (2014) · cites this paper as [21]
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罗曼, Liu, B., Xu, J., & Meng, D. (2026) · PeerJ · doi:10.7717/peerj.20840
- Authors
- Hsieh, M. ‐., Lyu, R. ‐., Chang, W. ‐., Chang, K. ‐., Chen, C. ‐., Chang, H. ‐., Wu, Y. ‐., Chen, S. ‐., & Ro, L. ‐.
- Affiliations
- Chang Gung University (TW)
- Venue
- European Journal of Neurology
- Publisher
- Wiley
- Published
- 2008-05-08
- Volume
- 15
- Issue
- 6
- Pages
- 559-564
- ISSN
- 1351-5101 (ISSN-L)
- 1468-1331
- OpenAlex
- W2120556412
- Cited by
- 78
- References
- 29
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 7 · 2022: 4 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 3
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Potassium and Related Disorders
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Keywords
- thyrotoxic periodic paralysis, precipitating factors, upper respiratory tract infection, hypokalemia, clinical features, euthyroid status
- MeSH terms
- Female, Humans, Male, Retrospective Studies, Risk Factors, Sex Factors, Thyroid Diseases, Age of Onset, Hypokalemic Periodic Paralysis
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