Thyrotoxic Periodic Paralysis In A Competitive Bodybuilder With Thyrotoxicosis Factitia

Autor: Amy J. Patel, MD, Stephanie Tejera, MD, Stanislaw P. Klek, MD, Gary D. Rothberger, MD, ECNU
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: AACE Clinical Case Reports, Vol 6, Iss 5, Pp e252-e256 (2020)
Druh dokumentu: article
ISSN: 2376-0605
DOI: 10.4158/ACCR-2020-0154
Popis: ABSTRACT: Objective: We report a case of thyrotoxic periodic paralysis (TPP) in a bodybuilder who developed paralysis secondary to thyrotoxicosis factitia after taking a supplement containing thyroid hormone. Interestingly, the patient had no intrinsic thyroid disease. Prompt recognition of thyrotoxicosis is critical to avoid progression of paralysis and subsequent complications. Methods: We discuss a 27-year-old body builder who presented after a 3-day bodybuilding competition with sudden upper and lower extremity paralysis. He admitted to taking anabolic steroids, a supplement containing an unknown amount of thyroid hormone for 2 weeks, and furosemide 40 mg twice daily with near-complete fluid restriction for 3 days. Results: Laboratory results showed a thyroid-stimulating hormone (TSH) level of
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