{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:42:37Z","timestamp":1786650157268,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Silent thyroiditis is a rare cause of thyrotoxic periodic paralysis. The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 weeks back. On examination he was found to have hypokalemia secondary to thyrotoxicosis. Clinically there were no features of thyrotoxicosis or thyroiditis. He was initially treated with intravenous and later oral potassium supplementation and propranolol. At 8 weeks of follow-up his thyroid profile became normal and his propranolol was stopped. He had no further recurrence of paralysis. He was diagnosed as a case silent thyroiditis presenting as thyrotoxic periodic paralysis. In cases of recurrent or acute flaccid muscle paralysis, it is important to suspect thyrotoxicosis, even if asymptomatic. Definitive treatment of thyrotoxicosis prevents recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0972-2327.112471","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T04:37:35Z","timestamp":1369370255000},"page":"218-220","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Thyrotoxic hypokalemic periodic paralysis as the presenting symptom of silent thyroiditis"],"prefix":"10.4103","volume":"16","author":[{"given":"Debmalya","family":"Sanyal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakya","family":"Bhattacharjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20-20260109","doi-asserted-by":"crossref","first-page":"2490","DOI":"10.1210\/jc.2006-0356","article-title":"Clinical review: Thyrotoxic periodic paralysis:A diagnostic challenge","volume":"91","author":"Kung","year":"2006","journal-title":"J Clin Endocrinol Metab"},{"key":"R2-20-20260109","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1136\/pgmj.75.882.193","article-title":"Hypokalemic paralysis","volume":"75","author":"Ahlawat","year":"1999","journal-title":"Postgrad Med J"},{"key":"R3-20-20260109","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1136\/pgmj.2010.104026","article-title":"Spectrum of hypokalemic periodic paralysis in a tertiary care centre in India","volume":"86","author":"Maurya","year":"2010","journal-title":"Postgrad Med J"},{"key":"R4-20-20260109","first-page":"246","article-title":"Aetiological, clinical and metabolic profile of hypokalemic periodic paralysis in adults: A single-centre experience","volume":"19","author":"Rao","year":"2006","journal-title":"Natl Med J India"},{"key":"R5-20-20260109","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/S0025-6196(11)62965-0","article-title":"Thyrotoxic periodic paralysis","volume":"80","author":"Lin","year":"2005","journal-title":"Mayo Clin Proc"},{"key":"R6-20-20260109","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/00000441-200405000-00025","article-title":"Acute hypercapnic respiratory failure due to thyrotoxic periodic paralysis","volume":"327","author":"Liu","year":"2004","journal-title":"Am J Med Sci"},{"key":"R7-20-20260109","first-page":"76","article-title":"Thyrotoxic hypokalemic periodic paralysi: Report of four cases and review of the literature","volume":"80","author":"Tinker","year":"1987","journal-title":"J Okla State Med Assoc"},{"key":"R8-20-20260109","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1136\/bmj.303.6810.1096","article-title":"In vivo and in vitro sodium pump activity in subjects with thyrotoxic periodic paralysis","volume":"303","author":"Chan","year":"1991","journal-title":"Br Med J"},{"key":"R9-20-20260109","doi-asserted-by":"crossref","first-page":"54454","DOI":"10.1016\/j.ajem.2004.09.016","article-title":"Effects of potassium supplementation on the recovery of thyrotoxic periodic paralysis","volume":"22","author":"Lu","year":"2004","journal-title":"Am J Emerg Med"},{"key":"R10-20-20260109","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1053\/ajkd.2001.22090","article-title":"Propranolol rapidly reverses paralysis, hypokalemia, and hypophosphatemia in thyrotoxic periodic paralysis","volume":"37","author":"Lin","year":"2001","journal-title":"Am J Kidney Dis"},{"key":"R11-20-20260109","doi-asserted-by":"crossref","first-page":"2597","DOI":"10.1001\/archinte.1989.00390110139031","article-title":"Thyrotoxic periodic paralysis. 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