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6 meg/l, In most reported cases, the cause of hypokalemia has ranged from familial periodic paralysis and sporadic paralysis (8) secondary to diuretic or laxative abuse, renal tubular acidosis.
16) Electrocardiographic findings supportive of a diagnosis of TPP rather than sporadic or familial periodic paralysis are sinus tachycardia, elevated QRS voltage and first-degree AV block (sensitivity 97%, specificity 65%).
It is important to differentiate from other causes of hypokalemia like familial periodic paralysis (FPP), thyrotoxicosis, hyperaldosteronism and gastrointestinal loss; because the treatment is different and bicarbonate therapy can deteriorate familial hypokalemic periodic paralysis; on the other hand it is the mainstay of therapy in RTA.

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