A Case of a Patient with Medical-Refractory Thyroid Storm Treated Successfully by Surgical Resection
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Thyroid storm is a life-threatening condition caused by elevated thyroid hormone levels. While multidrug treatments, encompassing antithyroid agents, inorganic iodine, and corticosteroids, are typically employed, they may be ineffective in certain cases. We present the case of a 41-year-old woman whose thyroid storm did not respond to standard medical treatments or therapeutic plasma pheresis, which led to a deterioration in her condition. Ultimately, an emergency total thyroidectomy was performed with no postoperative complications, such as recurrent laryngeal nerve injury or bleeding. This case underscores the potential efficacy of emergency thyroidectomy for the management of refractory thyroid storm.
Abstract
Thyroid storm is a life-threatening condition caused by elevated thyroid hormone levels. While multidrug treatments, encompassing antithyroid agents, inorganic iodine, and corticosteroids, are typically employed, they may be ineffective in certain cases. We present the case of a 41-year-old woman whose thyroid storm did not respond to standard medical treatments or therapeutic plasma pheresis, which led to a deterioration in her condition. Ultimately, an emergency total thyroidectomy was performed with no postoperative complications, such as recurrent laryngeal nerve injury or bleeding. This case underscores the potential efficacy of emergency thyroidectomy for the management of refractory thyroid storm.
참고문헌 (12)
- Tietgens ST, "Thyroid storm", Med Clin North Am, 79(1), pp.169~184 (1995)
- Satoh T, "2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society(First edition)", Endocr J, 63(12), pp.1025~1064 (2016)
- Aulet RM, "Surgical management of an atypical presentation of a thyroid storm", Int J Endocrinol Metab, 12(2), pp.e13539~ (2014)
- Chiu HHC, "Therapeutic plasma exchange in thyroid storm refractory to conventional treatment", Acta Med Philipp, 56(5), pp.157~160 (2022)
- Alfadhli E, "Management of severe thyrotoxicosis when the gastrointestinal tract is compromised", Thyroid, 21(3), pp.215~220 (2011)
- Uchida N, "Thyroidectomy in a patient with thyroid storm : report of a case", Surg Today, 45(1), pp.110~114 (2015)
- Gavin LA, "Thyroid crises", Med Clin North Am, 75(1), pp.179~193 (1991)
- Burch HB, "Life-threatening thyrotoxicosis. Thyroid storm", Endocrinol Metab Clin North Am, 22(2), pp.263~277 (1993)
- Ross DS, "2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis", Thyroid, 26(10), pp.1343~1421 (2016)
- Migneco A, "Management of thyrotoxic crisis", Eur Rev Med Pharmacol Sci, 9(1), pp.69~74 (2005)
- Schaaf L, "Thyrotoxic crisis in Graves' disease : indication for immediate surgery", Klin Wochenschr, 68(21), pp.1037~1041 (1990)
- Shafer RB, "Thyroid crisis induced by radioactive iodine", J Nucl Med, 12(5), pp.262~264 (1971)
