# Recurrent Thyrotoxic Periodic Paralysis As the Sole Clinical Manifestation of Untreated Hyperthyroidism

## TL;DR

A 32-year-old African American patient presented with thyrotoxic periodic paralysis as the sole sign of untreated hyperthyroidism.

## Contribution

This case highlights TPP as a primary manifestation of hyperthyroidism in an atypical demographic.

## Key findings

- TPP was the sole clinical manifestation of untreated hyperthyroidism in an African American patient.
- Symptoms resolved after correcting electrolyte abnormalities.

## Abstract

Thyrotoxic periodic paralysis (TPP) is a complication of hyperthyroidism that predominantly affects the Asian population. Episodes of muscle paralysis typically coincide with symptoms of hyperthyroidism. However, we present a unique case of TPP in a 32-year-old African American patient where TPP served as the primary manifestation of thyrotoxicosis. The patient was discharged with a resolution of symptoms after correcting electrolyte abnormalities.