title: Case report: storm and acid, together… !
abstract: The authors discuss the case of a 32-year-old woman, with history of Graves' disease, who was noncompliant with her medications. She presented with thyroid storm and concomitant diabetic ketoacidosis. She had no history of diabetes, and this was the first presentation of diabetes. Type 1 diabetes mellitus and Graves' disease are both autoimmune diseases and can occur in concurrence, but such presentation wherein extremes of both disorders, namely thyroid storm and diabetic ketoacidosis occur together, is very rare and requires early diagnosis and management.
authors.affiliation: Department of Hospital Medicine, Cleveland Clinic Foundation, Ohio 44195, USA.
authors.forename: Supriya
authors.initials: S
authors.lastname: Gupta
authors.forename: Saurabh B
authors.initials: SB
authors.lastname: Kandpal
mesh_terms: D000328:Adult; D001774:Blood Chemical Analysis; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006111:Graves Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D009820:Ohio; D012720:Severity of Illness Index; D013958:Thyroid Crisis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D016896:Treatment Outcome