title: Thyrotoxic crisis presenting with jaundice.
abstract: BACKGROUND
  Thyrotoxic crisis is a medical emergency requiring early diagnosis and urgent management, which can be challenging due to its diverse clinical presentations. While common presentations include fever, sweating, palpitations, tremors and confusion, presence of jaundice is rare.
  
  
  METHODS
  We report a 35-year-old male who presented with jaundice due to cholestasis along with other features of thyrotoxic crisis due to Graves' disease. He had a good clinical recovery with resolution of cholestasis following treatment for thyrotoxic crisis.
  
  
  CONCLUSIONS
  Jaundice can be a rare manifestation of thyrotoxic crisis, and should be considered in the differential diagnosis when other clinical features of thyrotoxic crisis are present. However secondary causes of jaundice should be looked into and excluded.
authors.affiliation: Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
authors.forename: R D S S
authors.initials: RD
authors.lastname: Wickramasinghe
authors.affiliation: Department of Clinical Pharmacology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. nathashaluke@gmail.com.
authors.forename: W A N V
authors.initials: WA
authors.lastname: Luke
authors.affiliation: Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
authors.forename: B S
authors.initials: BS
authors.lastname: Sebastiampillai
authors.affiliation: Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
authors.forename: M P M L
authors.initials: MP
authors.lastname: Gunathilake
authors.affiliation: Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
authors.forename: R
authors.initials: R
authors.lastname: Premaratna
mesh_terms: D000328:Adult; D002779:Cholestasis / Q000150:complications*; D003937:Diagnosis, Differential; D006801:Humans; D007565:Jaundice / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis
keywords: Graves disease; Jaundice; Thyrotoxic crisis