van Bokhorst, Querijn N E and Krul-Poel, Yvonne H M and Smit, Diederik L and de Ronde, Willem (2021) A 29-year-old Bodybuilder with Liothyronine-induced Thyrotoxic Hypokalaemic Periodic Paralysis. European Journal of Case Reports in Internal Medicine, 8 (3). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
We describe a 29-year-old male bodybuilder with recurrent attacks of myalgia and muscle weakness associated with hypokalaemia and thyrotoxicosis due to abuse of liothyronine. The attacks quickly resolved after potassium supplementation and liothyronine cessation. We concluded that the patient had thyrotoxic hypokalaemic periodic paralysis (TPP). Although muscle weakness and hypokalaemia are prominent symptoms of TPP, underlying thyrotoxicosis may be overlooked. Up to 25% of androgen abusers also abuse thyroid hormone. Lack of recognition of thyroid hormone abuse as a cause of hypokalaemic periodic paralysis may result in unnecessary, potentially harmful medical investigations and improper treatment and advice.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Thyrotoxicosis, hypokalemic periodic paralysis, liothyronine, androgens |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 21 Dec 2021 14:55 |
| Last Modified: | 21 Dec 2021 14:55 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21212 |
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