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A 19-Year-Old Male with Stiffness and Weakness After Waking 

A 19-Year-Old Male with Stiffness and Weakness After Waking
Chapter:
A 19-Year-Old Male with Stiffness and Weakness After Waking
Author(s):

Jeffrey A. Cohen

, Justin J. Mowchun

, Victoria H. Lawson

, and Nathaniel M. Robbins

DOI:
10.1093/med/9780190491901.003.0026
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date: 27 February 2021

The distinctive, but somewhat odd, development of intermittent “attacks” of weakness/stiffness define this disorder. Interview of the patient to determine the impact of diet (including timing, content and relationship of attack to fasting), activity, emotional stress, alcohol intake, cold exposure, time of day and physiologic perturbations (eg – electrolytes, infection, dehydration, etc) help to confirm and categorize the periodic paralysis. Periodic paralyses are most often associated with a genetic channelopathy. However, they can also occur as a result of a secondary causes including thyroid disturbance or distal renal tubular acidosis. The clinical picture, laboratory investigation, and treatment of this condition are presented.

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