title: A thyrotoxicosis outbreak due to dietary pills in Paris.
abstract: Three women were consecutively admitted to our medical intensive care unit for thyrotoxicosis after the ingestion of dietary pills accidentally containing high levels of thyroxin. These cases were observed during an outbreak in the Paris area. Despite similar blood levels of thyroid hormones, their clinical presentation and outcome were very different. One patient developed febrile confusion and died from malignant hyperthermia. The second one had progressive confusion requiring mechanical plasma exchange therapy and had a favorable outcome. The third one had very moderate symptoms. These exceptional observations raise several issues concerning diagnosis, physiopathology and treatment of thyrotoxicosis factitia.
authors.affiliation: Réanimation Médicale;
authors.forename: Vincent
authors.initials: V
authors.lastname: Ioos
authors.forename: Vincent
authors.initials: V
authors.lastname: Das
authors.forename: Eric
authors.initials: E
authors.lastname: Maury
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Baudel
authors.forename: Jérôme
authors.initials: J
authors.lastname: Guéchot
authors.forename: Bertrand
authors.initials: B
authors.lastname: Guidet
authors.forename: Georges
authors.initials: G
authors.lastname: Offenstadt