title: A case of thyroid storm with multiple organ failure effectively treated with plasma exchange.
abstract: We describe a 48-year-old man with thyroid storm presenting with heart failure. He presented severely impaired left ventricular wall motion and a marked increase in the liver enzymes. He developed disseminated intravascular coagulation on day 2. Due to elevated serum thyroid hormone level, anti-thyroid hormone receptor antibody positivity, and his clinical symptoms, he was diagnosed as thyroid storm due to untreated Graves' disease. His condition did not improve even after 6 days of conventional therapy including steroids. After therapeutic plasma exchange was carried out, his thyroid hormone level decreased markedly. Consequently, his condition recovered gradually, and he was discharged at day 43.
authors.affiliation: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Sasaki
authors.forename: Akira
authors.initials: A
authors.lastname: Yoshida
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Nakata
authors.forename: Isamu
authors.initials: I
authors.lastname: Mizote
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sakata
authors.forename: Issei
authors.initials: I
authors.lastname: Komuro
mesh_terms: D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000628:therapy; D006111:Graves Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008107:Liver Diseases / Q000150:complications; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D010951:Plasma Exchange; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D013963:Thyroid Hormones / Q000097:blood
chemical_list: D013963:Thyroid Hormones