title: Thyroid storm with multiple organ failure, disseminated intravascular coagulation, and stroke with a normal serum FT3 level.
abstract: Thyroid storm is a rare disorder with a sudden onset, rapid progression and high mortality. We experienced a case of thyroid storm which had a devastating course, including multiple organ failure (MOF), severe hypoglycemia, disseminated intravascular coagulation (DIC), and stroke. It was difficult to make a diagnosis of thyroid storm in the present patient, because she did not have a history of thyroid disease and her serum FT3 level was normal. Clinicians should be aware that thyroid storm can occur even when there is an almost normal level of thyroid hormones, and that intensive anticoagulation is required for patients with atrial fibrillation to prevent stroke after thyroid storm.
authors.affiliation: Department of Cardiology, Kawasaki Municipal Ida Hospital, Japan. adayuko1219@yahoo.co.jp
authors.forename: Yuko
authors.initials: Y
authors.lastname: Harada
authors.forename: Hisanao
authors.initials: H
authors.lastname: Akiyama
authors.forename: Tatsuji
authors.initials: T
authors.lastname: Yoshimoto
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Urao
authors.forename: Munekazu
authors.initials: M
authors.lastname: Ryuzaki
authors.forename: Michiko
authors.initials: M
authors.lastname: Handa
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D013956:Antithyroid Agents / Q000627:therapeutic use; D001929:Brain Edema / Q000150:complications / Q000601:surgery; D019299:Decompression, Surgical; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D016670:Gabexate / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D008713:Methimazole / Q000627:therapeutic use; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome; D014284:Triiodothyronine / Q000097:blood*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D000925:Anticoagulants; D013956:Antithyroid Agents; D014284:Triiodothyronine; D016670:Gabexate; D008713:Methimazole; D014859:Warfarin; D006854:Hydrocortisone