title: A case of atypical thyroid storm with hypoglycemia and lactic acidosis.
abstract: We describe herein a case of thyroid storm with hypoglycemia and lactic acidosis-a rare complication of thyroid storm. The patient was a 50-year-old Japanese woman who suffered cardiopulmonary arrest an hour after hospitalization. Analysis of a blood sample obtained before her cardiopulmonary arrest yielded surprising results: Her plasma glucose level was 14 mg/dL and her lactic acid concentration had increased to 6.238 mM. Thus, if atypical thyroid storm presents with normothermic hypoglycemia, and lactic acidosis, we believe it is necessary to consider a diagnosis of thyroid storm earlier, because this condition requires emergency treatment. Moreover, it is very important to apply standard principles in the treatment of atypical cases of thyroid storm.
authors.affiliation: Department of Internal Medicine, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan. 123m7@matsuyama.jrc.or.jp
authors.forename: Kenichi
authors.initials: K
authors.lastname: Izumi
authors.forename: Shiori
authors.initials: S
authors.lastname: Kondo
authors.forename: Takanori
authors.initials: T
authors.lastname: Okada
mesh_terms: D000140:Acidosis, Lactic / Q000097:blood / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006323:Heart Arrest / Q000150:complications* / Q000517:prevention & control; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000150:complications*; D008875:Middle Aged; D013958:Thyroid Crisis / Q000097:blood / Q000150:complications / Q000175:diagnosis*