T4-thyroid storm after CT-scan with iodinated contrast medium.
A 62-year-old woman had thyroid storm 5 h after a CT examination (contrast enhancement with 65% meglumine amidotrizoate, Angiografin). At the time of admission to our hospital, serum T4 and serum free T4 levels were markedly elevated (29 micrograms/dl and 9.6 ng/dl, respectively); serum T3 and serum free T3 levels were within normal limits (144 ng/dl and 5.9 pg/ml, respectively). These findings suggest that thyroid storm can occur with excess T4 only (T4-thyroid storm), and that T4-thyroid storm can be caused by administration of iodinated contrast medium.
Shimura
H
H
Third Department of Internal Medicine, University of Yamanashi, Japan.
Takazawa
K
K
Endo
T
T
Tawata
M
M
Onaya
T
T
D003974:Diatrizoate Meglumine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013958:Thyroid Crisis / Q000139:chemically induced*; D013960:Thyroid Function Tests; D013961:Thyroid Gland / Q000473:pathology; D013974:Thyroxine / Q000097:blood; D014055:Tomography, Emission-Computed / Q000009:adverse effects*; D014284:Triiodothyronine / Q000097:blood
D014284:Triiodothyronine; D003974:Diatrizoate Meglumine; D013974:Thyroxine