Thyroid storm: extreme remedies for extreme diseases

A. Karthigesu; K. C. Lim; Syamiza Shamsudin; Noor Airini; Rafidah Kasim; L. G. Chew

doi:10.18203/2349-2902.isj20160268

Authors

A. Karthigesu Department of General Surgery National University of Malaysia, Cheras, Kuala Lumpur, Malaysia
K. C. Lim Department of Internal Medicine, Serdang Hospital, Kajang, Malaysia
Syamiza Shamsudin Department of Otolaryngiology, Seremban Hospital, Malaysia
Noor Airini Department of Anesthesiology, Serdang Hospital, Kajang, Malaysia
Rafidah Kasim Department of Anesthesiology, Serdang Hospital, Kajang, Malaysia
L. G. Chew Department of Anesthesiology, Serdang Hospital, Kajang, Malaysia

DOI:

https://doi.org/10.18203/2349-2902.isj20160268

Keywords:

Thyroid storm, Antithyroid contraindications, Plasmapharesis, Thyroidectomy

Abstract

Thyroid storm is a hypermetabolic state due to acute elevation of thyroid hormones precipitated by multiple causes. It’s a rare life threatening emergency, and failure of prompt aggressive treatment will lead to multiorgan dysfunction and complicate further treatment plans. In this report we described our experience of managing a severe thyroid storm patient with contraindication to carbimazole, the complexities encountered with conventional treatment methods and alternative aggressive remedy options.

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References

Akamizu T, Satoh T, Isozaki O, Suzuki A. Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide Surveys. Thyroid. 2012;22(7):661-79.

Fisher JN. Management of thyrotoxicosis. South Med J. 2002;95(5):493-505.

Feldt-Rasmussen U, Emerson CH. Further thoughts on the diagnosis and diagnostic criteria for thyroid storm. Thyroid. 2012;22(11):1094-5.

Kurata Y, Nishioeda Y, Tsubakio T, Kitani T. Thrombocytopenia in Graves' disease: effect of T3 on platelet kinetics. Acta Haematol. 1980;63(4):185-90.

Hintze G, Lepsien G, Becker HD, Kobberling J. Subtotal thyroid resection in severe, iodine-induced hyperthyroidism. Chirurg. 1985;56(9):594-8.