scholarly journals A Rare Case of Subacute Painful Thyroiditis Causing Thyroid Storm and a Successful Trial of Propylthiouracil

Cureus ◽  
2020 ◽  
Author(s):  
Salem Gaballa ◽  
Kyaw M Hlaing ◽  
Nadine Bos ◽  
Safa Moursy ◽  
Mustafa Hakami
2002 ◽  
Vol 81 (8) ◽  
pp. 570-574 ◽  
Author(s):  
Neil M. Vora ◽  
Fred Fedok ◽  
Brendan C. Stack

Thyroid storm is a potentially life-threatening endocrinologic emergency characterized by an exacerbation of a hyperthyroid state. Several inciting factors can instigate the conversion of thyrotoxicosis to thyroid storm; trauma is one such trigger, but it is rare. Patients with thyroid storm can manifest fever, nervous system disorders, gastrointestinal or hepatic dysfunction (e.g., nausea, vomiting, diarrhea, and/or jaundice), and arrhythmia and other cardiovascular abnormalities. Treatment of thyroid storm is multimodal and is best managed by the endocrinologist and medical intensivist. Initial medical and supportive therapies are directed at stabilizing the patient, correcting the hyperthyroid state, managing the systemic decompensation, and treating the underlying cause. Once this has been achieved, definitive treatment in the form of radioactive ablation or surgery should be undertaken. We describe a case of thyroid storm in a young man that was precipitated by a motor vehicle accident.


2016 ◽  
Vol 44 (12) ◽  
pp. 497-497
Author(s):  
Junad Chowdhury ◽  
Vishad Sheth ◽  
Asif Abdul Hameed ◽  
Ana Maheshwari ◽  
Komal Patel ◽  
...  
Keyword(s):  

Author(s):  
Sanjay Singh ◽  
Manash Biswas ◽  
Tony Jose ◽  
Madhusudan Dey ◽  
Monica Saraswat

2019 ◽  
Author(s):  
Win Khine ◽  
James MacFarlane ◽  
Martin Lee ◽  
Katy Rice ◽  
Myint Khin Swe

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 302A
Author(s):  
Amareshwar Podugu ◽  
Khulood Rizvi ◽  
Chandra Dasari ◽  
Asha Chakka ◽  
Nihad Boutros

2016 ◽  
pp. bcr2016214603 ◽  
Author(s):  
Brock McMillen ◽  
Manvinder Shelley Dhillon ◽  
Sabrina Yong-Yow
Keyword(s):  

2020 ◽  
Vol 06 (04) ◽  
pp. 172-175
Author(s):  
Venkateswaran Sundararajan ◽  
Pradeep Rangappa ◽  
Ipe Jacob ◽  
Karthik Rao ◽  
Surendra K L

Author(s):  
Ji Wei Yang ◽  
Jacques How

Summary Lugol’s solution is usually employed for a limited period for thyroidectomy preparation in patients with Graves’ disease and for the control of severe thyrotoxicosis and thyroid storm. We describe a rare case of Lugol’s solution-induced painless thyroiditis. In November 2014, a 59-year-old woman was prescribed Lugol’s solution four drops per day for the alleviation of menopausal symptoms. She was referred to our clinic in June 2015 for fatigue, hair loss, and a 20-lb weight loss without thyroid pain or discomfort. Physical examination revealed a normal thyroid gland. On 7 May 2015, laboratory tests revealed a suppressed thyroid-stimulating hormone (TSH) 0.01 U/L with elevated free T4 3.31 ng/dL (42.54 pmol/L). Repeat testing on 25 May 2015 showed spontaneous normalization of the free thyroid hormone levels with persistently low TSH 0.10 U/L. Following these results, a family physician prescribed methimazole 10 mg PO TID and very soon after, the TSH concentration rose to >100 U/L along with subnormal free T4 and T3 levels. Methimazole was promptly discontinued, namely within 18 days of its initiation. Over the course of the next few months, the patient spontaneously achieved clinical and biochemical euthyroidism. To our knowledge, this is a unique case of painless thyroiditis induced by Lugol’s solution, which has not been reported before. Lugol’s solution is a short-term medication given for the preparation of thyroidectomy in patients with Graves’ disease and for the control of severe thyrotoxicosis. Iodine excess can cause both hyperthyroidism and hypothyroidism. Rarely, Lugol’s solution can cause acute painless thyroiditis. Learning points: Lugol’s solution is used for thyroidectomy preparation in patients with Graves’ disease and for the control of severe thyrotoxicosis and thyroid storm. Iodine excess can cause both hypothyroidism and thyrotoxicosis. Thyroid glands with an underlying pathology are particularly susceptible to the adverse effect of iodine. The prolonged off-label use of Lugol’s solution can be harmful. Rarely, Lugol’s solution can cause acute painful thyroiditis.


2020 ◽  
Vol 2020 ◽  
pp. 1-2
Author(s):  
Theresa Lanham ◽  
Abigayle Sullivan ◽  
Erik Lanham ◽  
Anthony Donato

Thyrotoxicosis is a constellation of symptoms including palpitations, tremors, agitation, and heat intolerance, caused by excess thyroid hormone. It can be life-threatening in its most serious form. We present a rare case of thyrotoxicosis provoked by mechanical trauma to the neck via strangulation in a young female with a history of self-resolving postpartum symptoms of hyperthyroidism one year prior, but no formal diagnosis of thyroid dysfunction. Although hyperthyroidism and posttraumatic stress have many similar features, thyroid storm is a life-threatening disorder that needs immediate intervention.


Thyroid ◽  
2007 ◽  
Vol 17 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Joanna L. Swinburne ◽  
Stuart H. Kreisman

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