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{
    "pk": 17195,
    "title": "Fatal Dysrhythmia Following Potassium Replacement for Hypokalemic Periodic Paralysis",
    "subtitle": null,
    "abstract": "We present a case of fatal rebound hyperkalemia in a patient with thyrotoxic periodic paralysis (TPP) treated with potassium supplementation. Although TPP is a rare hyperthyroidism-related endocrine disorder seen predominantly in men of Asian origin, the diagnosis should be considered in patients of non-Asian origins presenting with hypokalemia, muscle weakness or acute paralysis. The condition may present as a life threatening emergency and unfamiliarity with the disease could result in a fatal outcome. Immediate therapy with potassium chloride supplementation may foster a rapid recovery of muscle strength and prevent cardiac arrhythmias secondary to hypokalemia, but with a risk of rebound hyperkalemia. [West J Emerg Med. 2010; 11(1):57-59.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Thyrotoxic periodic paralysis"
        },
        {
            "word": "rebound hyperkalemia"
        },
        {
            "word": "muscle weakness"
        },
        {
            "word": "Hypokalemia"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4s94s58c",
    "frozenauthors": [
        {
            "first_name": "Imdad",
            "middle_name": "",
            "last_name": "Ahmed",
            "name_suffix": "",
            "institution": "University of Minnesota Medical School",
            "department": "None"
        },
        {
            "first_name": "Sridhar",
            "middle_name": "S",
            "last_name": "Chilimuri",
            "name_suffix": "",
            "institution": "Bronx Lebanon Hospital Center, Bronx, NY",
            "department": "None"
        }
    ],
    "date_submitted": "2008-12-25T08:00:00Z",
    "date_accepted": "2008-12-25T08:00:00Z",
    "date_published": "2010-04-02T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17195/galley/8692/download/"
        }
    ]
}