Recall : Graves with hypokalemia with quadriplegia: hypokalemia with graves.

“A 30-year-old female with a history of hyperthyroidism presents with weakness, quadriplegia, and hypokalemia. Her labs show a potassium level of 2.5 mEq/L. What is the most likely diagnosis?”

A) Graves’ disease with hypokalemic paralysis
B) Myasthenia Gravis
C) Guillain-Barré syndrome
D) Hyperkalemic periodic paralysis

right is : A) Graves’ disease with hypokalemic paralysis

Hypokalemic thyrotoxic periodic paralysis (TPP) is a rare endocrine disorder characterized by the triad of thyrotoxicosis, hypokalemia, and acute muscle weakness, and it is most often encountered at night.