Thyroid storm in patient with uncontrolled hyperthyroid: a case-report
DOI:
https://doi.org/10.18203/2349-3933.ijam20243793Keywords:
Thyroid storm, Hyperthyroid, Case reportAbstract
Hyperthyroidism is a clinical condition which arise due to an increase of synthesis and secretion of thyroid hormone (TH) by the thyroid gland, and may lead to hyperthyroid crisis or thyroid storm which is a life-threatening emergency condition. Sudden discontinuation of anti-thyroid drugs influences the occurrences of thyroid storm. A 29-years-old female patient come to the emergency department with complaint of shortness of breath, cough, body weight loss, and palpitation. During hospitalization period, patient experienced symptoms of palpitation and seizure. The Burch-Wartofsky criteria score was ≥45 which consistent with thyroid storm. A multidisciplinary team approach is important in treating patient with thyroid storm.
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References
Sudadi, Pratomo BY, Utomo WG. Tata Laksana Badai Tiroid Di Instalasi Gawat Darurat. J Komplikasi Anestesi. 2023;8(3):55-67.
The Indonesian Society of Endocrinology. Indonesian Clinical Practice Guidelines for Hyperthyroidism. JAFES. 2012;27(1):34-9.
Siregar JH. KRIsis Tiroid / Badai Tiroid. J kedokt Ibnu Nafis. 2020;9(2):93-9.
Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, Tsuboi K, et al. 2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society (First edition): The Japan Thyroid Association and Japan Endocrine Society Taskforce Committee for the establishment of diagnostic criteria and nationwide surveys for thyroid storm. Endocr J. 2016;63(12):1025-64.
Farooqi S, Raj S, Koyfman A, Long B. High risk and low prevalence diseases: Thyroid storm. Am J Emergency Med. 2023;69:127-35.
Kahaly GJ, Bartalena L, Hegedüs L, Leenhardt L, Poppe K, Pearce SH. 2018 European Thyroid Association Guideline for the Management of Graves Hyperthyroidism. Eur Thyroid J. 2018;7(4):167-86.
Wantania FE. Penatalaksanaan Penyakit Jantung Tiroid. JBM. 2014;6(1):14-22.
Grais IM, Sowers JR. Thyroid and the Heart. Am J Med. 2014;127(8):691-8.
Chiha M, Samarasinghe S, Kabaker AS. Thyroid Storm: An Updated Review. J Intensive Care Med. 2015;30(3):131-40.
The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis, Bahn RS, Burch HB, Cooper DS, Garber JR, Greenlee MC, et al. Hyperthyroidism and Other Causes of Thyrotoxicosis: Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Thyroid. 2011;21(6):593-646.