A Rare Case of Thyrotoxic Periodic Paralysis Caused by TSH-Secreting Pituitary Adenoma: Case Report and Review of the Literature by Toshihiko Yanase in Juniper in JETR
A 28-year-old man manifested thyrotoxicosis and periodic quadriplegia with hypokalemia. Further examination showed that he had inappropriate TSH secretion and a pituitary tumor. He was suspected as having thyrotoxic periodic paralysis (TPP) due to TSH-secreting pituitary adenoma. Therefore, transsphenoidal surgery was performed. The adenoma only stained positive for TSH. TPP is mostly associated with Basedow’s disease. Our case is rare and the 6th reported TPP case caused by TSH-secreting pituitary adenoma. Our results suggest that TPP is not caused by an autoimmune mechanism, but thyroid hormones instead. We review five other rare cases of TPP caused by TSH-secreting pituitary adenoma.
https://juniperpublishers.com/jetr/pdf/JETR.MS.ID.555551.pdf
https://juniperpublishers.com/jetr/JETR.MS.ID.555551.php
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