Thyrotoxic hypokalemic periodic paralysis (THPP) is a complication of hyperthyroidism that
is mostly diagnosed in Asian populations; consequently, it can be difficult to recognize in
western populations. THPP represents an endocrine emergency that can result in
respiratory insufficiency, cardiac arrhythmias, and death. Its differential diagnosis from the
other more common forms of hypokalemic paralysis is important to avoid inappropriate
therapy. Here, we discuss the main pathogenetic hypotheses, clinical features, and …