A Rare Case of Subacute Painful Thyroiditis Causing Thyroid Storm and a Successful Trial of Propylthiouracil.
Publication/Presentation Date
7-29-2020
Abstract
Thyroid storm is a rare, life-threatening condition characterized by severe or exaggerated clinical manifestations of thyrotoxicosis, commonly occurring in patients with longstanding, untreated hyperthyroidism such as Graves' disease and toxic nodular goiter. Subacute painful thyroiditis, also known as de Quervain thyroiditis, is a self-limited inflammatory disease of the thyroid gland that is characterized by neck pain, a tender diffuse thyroid goiter, elevated inflammatory markers, and a predictable course of thyroid function evolution. Rarely, it can cause thyroid storm. Herein, we report a rare case of a 25-year-old woman who was admitted for sepsis and acute painful thyroiditis who then developed thyroid storm. The patient was treated in the intensive care unit (ICU) and responded very well to steroids, propranolol, a seven-day trial of propylthiouracil, and ultimately achieved a euthyroid state on discharge.
Volume
12
Issue
7
First Page
9461
Last Page
9461
ISSN
2168-8184
Published In/Presented At
Gaballa, S., Hlaing, K. M., Bos, N., Moursy, S., & Hakami, M. (2020). A Rare Case of Subacute Painful Thyroiditis Causing Thyroid Storm and a Successful Trial of Propylthiouracil. Cureus, 12(7), e9461. https://doi.org/10.7759/cureus.9461
Disciplines
Medicine and Health Sciences
PubMedID
32760639
Department(s)
Department of Medicine
Document Type
Article