Hypokalemic periodic paralysis

A rare disorder characterised by episodes of muscle paralysis lasting from a few to 24-48 hours and associated with a fall in blood potassium levels.



Input patient's signs and symptoms


Narrow down the case reports



Total: 159 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(59.0%)
23767205
Hypokalemic periodic paralysis, facial dysmorphism and ventricular arrhythmia (clinical triad of Andersen-Tawil syndrome).
Thakkar M, Biswas TK, Desle HB.
J Assoc Physicians India. 2012;60:56-8.
Broad forehead Micrognathia
Andersen Syndrome Cardiac Arrhythmia Homo sapiens Male Micrognathism Retrognathia Young Adult
2
(39.1%)
25988057
(4369992)
Secondary Sjogren's syndrome presenting with hypokalemic periodic paralysis.
Dormohammadi Toosi T, Naderi N, Movassaghi S, Seradj MH, Khalvat A, Shahbazi F.
Oxf Med Case Reports. 2014;2014(8):135-7.
Xerostomia Rheumatoid arthritis
3
(27.7%)
25933458
Recurrent Hypokalemic Periodic Paralysis Unmasks Sjogren Syndrome without Sicca Symptoms.
Hung YM, Huang NC, Wann SR, Chang YT, Wang JS.
J Coll Physicians Surg Pak. 2015;25 Suppl 1:S36-8.
Xerostomia
Antirheumatic Agents Biopsy Homo sapiens Male Middle Aged Nephritis, Interstitial Sjogren's Syndrome
3
(27.7%)
15690142
A primary Sjogren's syndrome patient with distal renal tubular acidosis, who presented with symptoms of hypokalemic periodic paralysis: Report of a case study and review of the literature.
Soy M, Pamuk ON, Gerenli M, Celik Y.
Rheumatol Int. 2005;26(1):86-9.
Nephritis Xerostomia
Adult Antirheumatic Agents Combination Drug Therapy Differential Diagnosis Females Homo sapiens Potassium Deficiency Sjogren's Syndrome Xerophthalmia Xerostomia
5
(17.5%)
31215737
Familial hypokalemic periodic paralysis in pregnancy: A case report.
Frappaolo A, Vadnais M.
J Obstet Gynaecol Res. 2019;45(8):1608-1612.
Muscle weakness
Adult Females Homo sapiens Patient Care Team Pregnancy Pregnancy Complications Pregnancy Outcome
5
(17.5%)
30647907
Case Report: Recurrent hypokalemic periodic paralysis associated with distal renal tubular acidosis (type 1) and hypothyroidism secondary to Hashimoto's thyroiditis.
Meregildo-Rodriguez ED, Failoc-Rojas VE.
F1000Res. 2018;7:1154.
Hypothyroidism Muscle weakness
Hashimoto Disease Homo sapiens Hypothyroidism Male
5
(17.5%)
30090141
(6057184)
Phenotypical Variation with Same Genetic Mutation in Familial Hypokalemic Periodic Paralysis.
Kumar S, Offiong EE, Sangita S, Hussain N.
J Pediatr Neurosci. 2018;13(2):218-220.
Paralysis Muscle stiffness
CACNA1S
p|SUB|R|1239|H;RS#:28930068 |SUB|C|3716|G,A
5
(17.5%)
29193480
Rhabdomyolysis and fluctuating asymptomatic hyperCKemia associated with CACNA1S variant.
Anandan C, Cipriani MA, Laughlin RS, Niu Z, Milone M.
Eur J Neurol. 2018;25(2):417-419.
Malignant hyperthermia Rhabdomyolysis
CACNA1S RYR1
p|SUB|R|528|L
Adult Animals Calcium Channel Creatine Kinase Homo sapiens L-Type Calcium Channels Male Rhabdomyolysis
5
(17.5%)
28293157
(5327672)
Thyrotoxic periodic paralysis: A case report.
Al Moteri BL, Aslam M.
Int J Health Sci (Qassim). 2017;11(1):1-2.
Hyperthyroidism Muscle weakness
5
(17.5%)
28255549
(5314262)
Rhabdomyolysis following severe hypokalemia caused by familial hypokalemic periodic paralysis.
Jung YL, Kang JY.
World J Clin Cases. 2017;5(2):56-60.
Muscle weakness
        

Phenotype(s) retrieved from Orphanet

    Total: 16

HPO ID Term Frequency
HP:0008153 Periodic hypokalemic paresis Obligate (100%)
HP:0012726 Episodic hypokalemia Obligate (100%)
HP:0003457 EMG abnormality Very frequent (99-80%)
HP:0003470 Paralysis Very frequent (99-80%)
HP:0003752 Episodic flaccid weakness Very frequent (99-80%)
HP:0004303 Abnormal muscle fiber morphology Very frequent (99-80%)
HP:0008180 Mildly elevated creatine kinase Very frequent (99-80%)
HP:0012240 Increased intramyocellular lipid droplets Very frequent (99-80%)
HP:0009020 Exercise-induced muscle fatigue Frequent (79-30%)
HP:0011998 Postprandial hyperglycemia Frequent (79-30%)
HP:0003694 Late-onset proximal muscle weakness Occasional (29-5%)
HP:0002203 Respiratory paralysis Very rare (4-1%)
HP:0008256 Adrenocortical adenoma Very rare (4-1%)
HP:0030196 Fatigable weakness of respiratory muscles Very rare (4-1%)
HP:0002486 Myotonia Excluded (0%)
HP:0006670 Impaired myocardial contractility Excluded (0%)


Phenotype(s) retrieved from case reports

    Total: 43

HPO ID Term # of case reports
HP:0001324 Muscle weakness 16
HP:0003470 Paralysis 14
HP:0002900 Hypokalemia 13
HP:0000836 Hyperthyroidism 7
HP:0001947 Renal tubular acidosis 5
HP:0003198 Myopathy 5
HP:0000821 Hypothyroidism 4
HP:0011675 Arrhythmia 3
HP:0000822 Hypertension 2
HP:0000859 Hyperaldosteronism 2
HP:0001663 Ventricular fibrillation 2
HP:0001941 Acidosis 2
HP:0001942 Metabolic acidosis 2
HP:0002047 Malignant hyperthermia 2
HP:0002148 Hypophosphatemia 2
HP:0002486 Myotonia 2
HP:0004308 Ventricular arrhythmia 2
HP:0004756 Ventricular tachycardia 2
HP:0012819 Myocarditis 2
HP:0000771 Gynecomastia 1
HP:0000793 Membranoproliferative glomerulonephritis 1
HP:0000842 Hyperinsulinemia 1
HP:0000854 Thyroid adenoma 1
HP:0001284 Areflexia 1
HP:0001287 Meningitis 1
HP:0001297 Stroke 1
HP:0001298 Encephalopathy 1
HP:0001337 Tremor 1
HP:0001649 Tachycardia 1
HP:0001716 Wolff-Parkinson-White syndrome 1
HP:0001948 Alkalosis 1
HP:0002315 Headache 1
HP:0003201 Rhabdomyolysis 1
HP:0003324 Generalized muscle weakness 1
HP:0003472 Hypocalcemic tetany 1
HP:0010547 Muscle flaccidity 1
HP:0011703 Sinus tachycardia 1
HP:0012378 Fatigue 1
HP:0012486 Myelitis 1
HP:0012726 Episodic hypokalemia 1
HP:0031273 Shock 1
HP:0100614 Myositis 1
HP:0100646 Thyroiditis 1


Causative gene(s) retrieved from Orphanet

    Total: 3

Gene Symbol Gene Name Entrez Gene ID
SCN4A sodium voltage-gated channel alpha subunit 4 6329
CACNA1S calcium voltage-gated channel subunit alpha1 S 779
KCNE3 potassium voltage-gated channel subfamily E regulatory subunit 3 10008