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Thyrotoxic crisis. Rare manifestations and the difficulties of timely diagnostics

https://doi.org/10.14341/ket2015159-67

Abstract

Thyroid storm is a rare, life-threatening complication of thyrotoxicosis. It may be precipitated by an acute event such as discontinuation of antithyroid drug therapy, thyroid or nonthyroidal surgery, infection, parturition, or an acute iodine load. The variety of clinical presentations of this disorder can lead to delayed diagnostics and high mortality.

The typical and atypical clinical manifestations, diagnosis, and management of thyroid storm will be reviewed here. It also describes a case study of a young man with thyroid storm.

About the Authors

Olegovna Dar'ya Gazizova
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
MD, PhD, endocrinologist
Competing Interests:

Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.



Sergey Viktorovich Vasichkin
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
MD, neurologist
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


Pavel Olegovich Kharkenen
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
Head of the neuroreanimation department
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


Dmitriy Kirillovich Fomin
Russian Scientific Center of Roentgeno-Radiology, Moscow
Russian Federation
MD, PhD, Head of the nuclear medicine clinic
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


Lyubov' Petrovna Chupina
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
MD, PhD, neurologist
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


Anzhela Borisovna Kozhokaru
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
MD, PhD, neurologist
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


Natal'ya Sergeevna Shevchenko
Burnasyan Federal Medical Biophysical Center, Moscow
Russian Federation
MD, Head of the neurology department
Competing Interests: Авторы декларируют отсутствие скрытого или явного конфликта интересов в отношении данной статьи.


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Supplementary files

Review

For citations:


Gazizova O.D., Vasichkin S.V., Kharkenen P.O., Fomin D.K., Chupina L.P., Kozhokaru A.B., Shevchenko N.S. Thyrotoxic crisis. Rare manifestations and the difficulties of timely diagnostics. Clinical and experimental thyroidology. 2015;11(1):59-67. (In Russ.) https://doi.org/10.14341/ket2015159-67

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