Thyroid Storm
THYROID STORM
- Thyroid storm or thyrotoxic crisis is rare and is a life threatening exacerbation of hyperthyroidism.
ETIOLOGY
- Acute illness (stroke, infection, trauma, diabetic ketoacidosis)
- Surgery
- Inadequate control of hyperthyroidism
- Radioactive treatment of hyperthyroidism
CLINICAL FEATURES-
- Fever, delirium, coma
- Vomiting diarrhea and jaundice
- Cardiac failure, arrhythmia or hyperthermia
TREATMENT-
- Propylthiouracil (drug of choice)
- Stable iodide blocks thyroid hormone synthesis via Wolff- Chaikoff effect.
- Potassium iodide
- Porpranolol
- Glucocorticoids
- Calcium channel blocker
Exam Important
- Thyroid storm or thyrotoxic crisis is rare and is a life threatening exacerbation of hyperthyroidism.
ETIOLOGY
- Acute illness (stroke, infection, trauma, diabetic ketoacidosis)
- Surgery
- Inadequate control of hyperthyroidism
- Radioactive treatment of hyperthyroidism
TREATMENT-
- Propylthiouracil (drug of choice)
- Stable iodide blocks thyroid hormone synthesis via Wolff- Chaikoff effect.
- Potassium iodide
- Porpranolol
- Glucocorticoids
- Calcium channel blocker
Don’t Forget to Solve all the previous Year Question asked on Thyroid Storm
