Review Article

[Retracted] Thyrotoxic Periodic Paralysis: Clinical Challenges

Table 2

Differential diagnosis of hypokalemic paralysis.

Type of potassium Imbalance Cause

Transcellular shiftDrugs (tocolytics, theophylline toxicity, chloroquine
toxicity, insulin overdose)
Thyrotoxic periodic paralysis
Familial periodic paralysis
Sporadic periodic paralysis
Barium poisoning

Renal loss of potassiumDrugs: diuretics
Primary hyperaldosteronism
Pseudohyperaldosteronism: licorice ingestion
Bartter’s syndrome, Gitelman’s syndrome
Renal tubular acidosis
Other: nephrotic syndrome, acute tubular necrosis, diabetic ketoacidosis, and ureterosigmoidostomy.

Gastrointestinal loss of potassiumCeliac disease
Tropical sprue
Infectious diarrhea: Salmonella enteritis, Strongyloides enteritis, and Yersinia enterocolitis
Short bowel syndrome