Thyroid storm

Thyroid storm 

Updated: 01/13/2021

© Jun Wang, MD, PhD

General features
  • Thyrotoxic crisis
  • Acute, life-threatening, hypermetabolic state
  • Severely exacerbated thyroid hormone effects
  • Associated with infection, surgery, cessation of antithyroid medication, or any form of stress
  • Clinical diagnosis
  • Improve within 24 hours with proper thyroid-suppressive therapy and sympathetic blockade, the crisis resolve within a week
Pathogenesis
Clinical presentations
  • Fever, tachycardia, hypertension, neurological and GI abnormalities
  • May result in congestive heart failure, associated with hypotension and shock
Diagnosis
From uptodate.com

Treatment
  • Supportive
  • Anti adrenergic



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