Jasmin Rahesh MS, MBA, Layan Al-Sukhni BS, Baseer Quraishi BS, Tarek Naguib MD
Thyrotoxic periodic paralysis is a rare but life-threatening complication of hyperthyroidism. Characteristic features include thyrotoxicosis, acute paralysis, and hypokalemia. Mild hypomagnesemia and hypophosphatemia are also present in most cases due to the transcellular shift of electrolytes. Complications of thyrotoxic periodic paralysis reported in the literature have included cerebral venous thrombosis and lower extremity deep venous thrombosis. We present a patient with an unusual presentation of thyrotoxic periodic paralysis with hyperphosphatemia, upper extremity deep venous thrombosis, and severe hypomagnesemia. This is the first reported case of upper extremity deep vein thrombosis in association with a peripherally inserted central catheter line secondary to thyrotoxicosis.
Keywords: thyrotoxic periodic paralysis, deep venous thrombosis
Article citation: Rahesh J, Al-Sukhni L, Quraishi B, Naguib T. Upper extremity deep venous thrombosis secondary to thyrotoxic periodic paralysis with accompanying hyperphosphatemia and severe hypomagnesemia. The Southwest Respiratory and Critical Care Chronicles 2021;9(41):47–49
From: Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas
Submitted: 8/17/2021
Accepted: 9/24/2021
Reviewer: Shaili Felton MD
Confiicts of interest: none
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