thyroid storm


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Related to thyroid storm: thyrotoxicosis, Graves disease, hypothyroidism, hyperthyroidism

storm

 [storm]
an outburst; a temporary and sudden increase in symptoms.
thyroid storm (thyrotoxic storm) thyroid crisis.

thy·ro·tox·ic cri·sis

, thyroid crisis
the exacerbation of symptoms of hyperthyroidism; severe thyrotoxicosis; can follow shock or injury or thyroidectomy; marked by rapid pulse (140-170/minute), nausea, diarrhea, fever, loss of weight, extreme nervousness, and a sudden rise in the metabolic rate; coma and death may occur; occasionally the entire clinical picture is that of profound prostration, weakness, and collapse, without the phase of muscular overactivity and tachycardia.
Synonym(s): thyroid storm

thyroid storm

a crisis of uncontrolled thyrotoxicosis caused by the release into the bloodstream of increased amounts of thyroid hormone. Thyroid storm may occur spontaneously or be precipitated by infection, stress, or a thyroidectomy performed on a patient who is inadequately prepared with antithyroid drugs. Characteristic signs are fever that may reach 106° F, a rapid pulse, acute respiratory distress, apprehension, restlessness, irritability, and prostration. The patient may become delirious, lapse into a coma, and die of heart failure. Also called thyroid crisis.

thy·ro·tox·ic cri·sis

, thyroid crisis (thī'rō-tok'sik krī'sis, thī'royd)
The exacerbation of symptoms that occurs in severe thyrotoxicosis; marked by rapid pulse, nausea, diarrhea, fever, loss of weight, and extreme restlessness; coma and death may occur.
Synonym(s): thyroid storm.
References in periodicals archive ?
Prompt thyroid storm recognition and treatment is of critical importance and can be life-saving (5).
This case emphasises the fact that thyroid storm recognition can be difficult, because signs are non-specific and symptoms can mimic other causes of severe illness such as acute abdomen.
While the patient did suffer from two subsequent episodes of thyroid storm, he again managed to survive these potentially fatal events.
In a case report, L-carnitine showed promise in helping prevent the possible lethal outcome of thyroid storm.
Treatment of thyroid storm focuses on symptom control.
They have been found to significantly reduce mortality rates when used in thyroid storm in conjunction with antithyroid medications (Singhal & Campbell, 2004).
At first follow-up 2 months later, "none of these patients had any symptoms of thyroid storm," she said.
The pathogenesis of thyroid storm remains unclear, with numerous proposed hypotheses.
An endocrinology consultation was obtained for management of thyroid storm, and the patient was started on methimazole, ipodate, and an esmolol drip.
A new working diagnosis of thyroid storm was made on the basis of the patient's persistent tachycardia, mental status changes, and fever.
If a Hashi's patient with a slightly overfunctioning thyroid and coexisting low selenium level is then started on iodine without first optimizing the selenium level, this will aggravate the thyroiditis, and possibly throw the patient into thyroid storm.
THYROID STORM is a relatively rare, yet potentially fatal syndrome.

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