• Tetsuhiro Yoshino, Daisuke Kawano, Takeo Azuhata, Tsukasa Kuwana, Rikimaru Kogawa, Atsushi Sakurai, Katsuhisa Tanjoh, and Tatsuo Yanagawa.
• Department of Internal Medicine, Nerima General Hospital, Asahigaoka, Nerima-ku, Tokyo, Japan.
• Ups. J. Med. Sci. 2010 Nov 1; 115 (4): 282-6.

AbstractA 56-year-old woman with Graves' disease presented with the complaints of diarrhea and palpitations. Physical examination and laboratory data revealed hypothermia and signs of mild hyperthyroidism, heart failure, hepatic dysfunction with jaundice, hypoglycemia, and lactic acidosis. The patient was diagnosed as having developed the complication of thyroid storm in the absence of marked elevation of the thyroid hormone levels, because of the potential hepatic and cardiac dysfunctions caused by heavy alcohol drinking. A year later, after successful treatment, the patient remains well without any clinical evidence of heart failure or hepatic dysfunction. Thyroid storm associated with lactic acidosis and hypothermia is a serious condition and has rarely been reported. Prompt treatment is essential even if the serum thyroid hormone levels are not markedly elevated. We present a report about this patient, as her life could eventually be saved.

26 keywords...

hide…