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Sir,I read with interest the article ‘Newly diagnosed thyrotoxicosis in hospitalized patients: clinical characteristics’ by Rotnam-Pikielny et al .1 In their study, the team found that weakness, weight loss and palpitations were the leading symptoms in patients newly diagnosed with thyrotoxicosis during hospitalization. I totally agree with their view that thyrotoxicosis should be included in the differential diagnosis of patients presenting with those symptoms in the hospital setting.In this retrospective study, in the authors’ own admission, there was an uncertainty regarding the presence of non-specific symptoms like weakness and weight loss in other acutely ill patients. The cohort (58 in total) had a mixed ethnicity of Jews, Arabs and interestingly 3% of Phillipinos. There were obviously more women patients than males (36/22) as expected in this …

Thyrotoxic periodic paralysis amongst the ethnic Asians living in the west--an important entity to consider in the hospital setting