thyrotoxic periodic paralysis…

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thyroid gland, periodic paralysis, thyrotoxic, thyrotoxic periodic paralysis a syndrome characterized by intermittent episodes of muscle weakness that occurs, high levels of thyroid hormone, thyrotoxicosis, hyperthyroidism, thyrotoxic periodic paralysis, rare condition that occurs only, thyrotoxicosis, high thyroid hormone levels, seen most commonly in asian men, similar disorder, hypokalemic periodic paralysis, familial periodic paralysis, an inherited condition, not associated, high thyroid levels, thyrotoxic periodic paralysis involves attacks of muscle weakness, paralysis alternating, periods of normal muscle function, attacks, begin after symptoms of hyperthyroidism have developed, frequency of attacks, from daily to yearly, episodes of muscle weakness, few hours, persist, several days, an attack, low level of potassium, in the bloodstream, serum, serum potassium levels, normal between attacks, no decrease in total body potassium, potassium flows, bloodstream into muscle cells, levels of potassium, hypokalemia, not be enough, proper muscle function, insulin levels, affect the disorder, insulin increases the flow of potassium into cells, weakness most commonly affects the muscles, the arms, legs, occasionally affect the muscles, the eyes, muscles involved in breathing, swallowing, fatal, heart arrhythmias, attacks, the drop in potassium levels, muscle strength is initially normal between attacks, repeated attacks, eventually cause progressive, persistent muscle weakness, risk factors, family history of periodic paralysis, hyperthyroidism, attacks triggered by eating high-carbohydrate, high-salt meals, rest after vigorous exercise, trigger an attack, weakness/paralysis, most common in shoulders, hips, common in legs than arms, intermittent occurrences, triggered by rest after exercise, triggered by heavy, high-carbohydrate, high-salt meals, lasting, up to several days, spontaneous recovery of normal strength between attacks, vision changes, rare, swallowing difficulty, rare, speech difficulty, rare, difficulty breathing, rare, alert, attacks, symptoms of hyperthyroidism, increased appetite, weight loss, skin changes, moist, warm, thin, pale, tremors, fast heart rate, sensation of feeling the heart beat, palpitations, headache, excessive sweating, diaphoresis, insomnia, heat intolerance, fatigue, suspect thyrotoxic periodic paralysis, a family history, the disorder, episodic nature of symptoms, low potassium levels, attacks, abnormal thyroid hormone levels, elimination of other disorders associated, low potassium, the cause of symptoms, between attacks, examination is normal, signs of hyperthyroidism, an enlarged thyroid, an attack, reflexes decreased, absent, weakness is constant rather than spastic, spasmodic, greater in muscle groups near the body, shoulders, hips, than muscle groups farther away, arms, hands, legs, feet, attempt to trigger an attack by administering insulin, glucose, reduces potassium levels, thyroid hormone, hyperthyroidism is confirmed by abnormal results of, low serum tsh, thyroid stimulating hormone, levels, high thyroid hormone levels, t3, t4, serum potassium is low, attacks but is normal between attacks, confirming the diagnosis, an ecg, electrocardiogram, abnormal, attacks, an emg, electromyogram, normal between attacks, an attack emg is abnormal, showing electrical silence, a muscle biopsy, occasionally show abnormalities, best treatment is rapid reduction in thyroid hormone levels, potassium should also be given, attack, preferred that potassium be given by mouth, weakness is severe, intravenous potassium necessary, intravenous potassium, given only, kidney function is adequate, person is monitored, in the hospital, weakness that involves, muscles used, breathing, swallowing, emergency, patients must be, a hospital, dangerous heart arrhythmias, attacks, a diet that is low in carbohydrates, salt recommended, prevent attacks, medications, beta-blockers, reduce the number, severity of attacks hyperthyroidism is brought under control, acetazolamide, a medication that is effective in attack prevention, familial periodic paralysis, not effective, thyrotoxic periodic paralysis, chronic attacks, eventually result in progressive muscle weakness that is present between attacks, thyrotoxic periodic paralysis responds well to treatment, treatment of hyperthyroidism, prevent attacks, reverse progressive muscle weakness, heart arrhythmias, attacks, difficulty breathing, speaking, swallowing, attacks, rare, progressive muscle weakness, intermittent muscle weakness occurs, family history of periodic paralysis, thyroid disorders, fainting, difficulty breathing, speaking, swallowing, among the emergency symptoms, genetic counseling advised, the underlying thyroid disorder prevents attacks of weakness.