Comparative of primary hypokalemic periodic paralysis and thyrotoxicosis secondary onset periodic paralyses

Objective To compare and analyze the similarities and differences , clinical features on the primary hypokalemic periodic paralysis and thyrotoxicosis secondary onset periodic paralyses, so as to improve the level of diagnostic treatment. Methods 45 cases of hypokalemic periodic paralysis patients were chosen, with clinical data retrospectively analyzed. Results Among 45 hypokalemic periodic paralysis patients, there are 28 primary hypokalemic periodic paralysis patients (for Group A) and 17 thyrotoxicosis secondary onset periodic paralyses patients (for Group B), the gender, clinical manifestation, occasion, creatine kinase and the relation of dosage of potassium with the level of hypokalemia in the two groups are common. The differences of them are hypermetabolism symptom, the level of hypokalemia and elastic recoil hyperpotassemia. Conclusion The hypokalemic periodic paralysis has its clinical features, with the key points of early diagnosis and the potassium supply. The dosage of supplying the potassium can' t be amounted according to the level of hypokalemia, and during the progress of supplying potassium, it' s easy to appear the elastic recoil hyperpotassemia, so shoud pay attention to the monitoring survey about the level of hypokalemia, and to treat thyrotoxicosis energetically. Key words: Kaliopenia;  Periodic paralyses;  Primary;  Thyrotoxicosis