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- R H Birkhahn, T J Gaeta, and L Melniker.
- Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, New York 11215, USA.
- J Emerg Med. 2000 Feb 1; 18 (2): 199-202.
AbstractA 27-year-old male of Malaysian descent presented to the Emergency Department (ED) with rapidly progressive flaccid paralysis that quickly compromised his respiratory effort. The patient was found to have a serum potassium of 1.9 meq/L, and was diagnosed as having an acute paralytic episode secondary to thyrotoxic periodic paralysis. The paralytic attack was aborted with a combination of potassium replacement and parenteral propranolol in large doses. We report the use of a rarely described, yet possibly more effective, therapy for an acute attack of thyrotoxic periodic paralysis.
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