title: Thyroid crisis in the maxillofacial trauma patient.
abstract: Thyroid crisis, also known as thyroid storm, is a rare complication of thyrotoxicosis that results in a hypermetabolic and hyperadrenergic state. This condition requires prompt recognition and treatment because the mortality from thyroid crisis approaches 30%. Thyrotoxicosis alone will usually not progress to thyroid crisis. Thyroid crisis will typically be precipitated by some concomitant event such as infection, iodine-containing contrast agents, medications such as amiodarone, pregnancy, or surgery. Trauma is a rare precipitator of thyroid crisis. Several published studies have reported thyroid crisis resulting from blunt or penetrating neck trauma. Significant systemic trauma, such as motor vehicle accidents, has also been reported to precipitate thyroid crisis. It is very unusual for minor trauma to precipitate thyroid crisis. In the present study, we report the case of a patient who had incurred relatively minor maxillofacial trauma and developed thyroid crisis 2 weeks after the initial trauma.
authors.affiliation: Resident, Department of Oral and Maxillofacial Surgery, Woodhull Medical and Mental Health Center, Brooklyn, NY. Electronic address: rjw2119@columbia.edu.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Weinstock
authors.affiliation: Resident, Department of Oral and Maxillofacial Surgery, Woodhull Medical and Mental Health Center, Brooklyn, NY.
authors.forename: Tashorn
authors.initials: T
authors.lastname: Lewis
authors.affiliation: Resident, Department of Oral and Maxillofacial Surgery, Woodhull Medical and Mental Health Center, Brooklyn, NY.
authors.forename: Jared
authors.initials: J
authors.lastname: Miller
authors.affiliation: Director, Department of Dentistry/Oral and Maxillofacial Surgery, The Brooklyn Hospital Center; and Chief and Program Director, Department of Oral and Maxillofacial Surgery, Woodhull Medical and Mental Health Center, Brooklyn, NY.
authors.forename: Earl I
authors.initials: EI
authors.lastname: Clarkson
mesh_terms: D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged; D013958:Thyroid Crisis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed