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CC BY-NC-ND 4.0 · Journal of Diabetes and Endocrine Practice 2024; 07(01): 39-41
DOI: 10.1055/s-0043-1778107
Case Report

Emotional Stress-Induced Thyroid Storm

Salem Al Ghaiti
1   Department of Medicine, Suhar Hospital, Suhar, Oman
,
Mazin Al-rudaini
2   Department of Medicine, College of Medicine and Health Sciences, National University, Suhar, Oman
,
Abdulrahman Alyamani
3   Department of Intensive Care Unit, Suhar Hospital, Suhar, Oman
,
Ali Alreesi
1   Department of Medicine, Suhar Hospital, Suhar, Oman
› Author Affiliations Funding and Sponsorship None.
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Abstract

Thyroid storm is an endocrine emergency with high mortality due to severe uncontrolled thyrotoxicosis, often associated with precipitating factors. The chance of survival will increase with early suspicion, prompt diagnosis, and immediate treatment. In this case report, we are presenting a 49-year-old female who came to the emergency department with acute pulmonary edema, agitation, severe tachycardia, high-grade fever with uncontrolled thyrotoxicosis. A diagnosis of thyroid storm was made. The patient presentation was following severe emotional stress after the passing of her mother-in-law. In the literature review, only a few cases reported as emotional stress induced thyroid storm, and we would like to present this life-threatening endocrine emergency.

Keywords

emergency - emotional stress - thyroid storm - thyrotoxicosis

Informed Consent

Authors declare that informed consent was obtained from the patient for publication on anonymous basis. All efforts are made to secure confidentiality of the patient.


Compliance with Ethical Principles

No ethical approval is required.




Publication History

Article published online:
26 February 2024

© 2024. Gulf Association of Endocrinology and Diabetes (GAED). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Sarlis NJ, Gourgiotis L. Thyroid emergencies. Rev Endocr Metab Disord 2003; 4 (02) 129-136
    CrossrefPubMedGoogle Scholar
  • 2 Galindo RJ, Hurtado CR, Pasquel FJ, García Tome R, Peng L, Umpierrez GE. National trends in incidence, mortality, and clinical outcomes of patients hospitalized for thyrotoxicosis with and without thyroid storm in the United States, 2004-2013. Thyroid 2019; 29 (01) 36-43
    CrossrefPubMedGoogle Scholar
  • 3 Akamizu T, Satoh T, Isozaki O. et al; Japan Thyroid Association. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid 2012; 22 (07) 661-679
    CrossrefPubMedGoogle Scholar
  • 4 Chan V, Minalyan A, Raza A, Christensen G. A heartbreaking case of emotional stress-induced thyroid storm. Chest 2020; 158 (04) A867
    CrossrefGoogle Scholar
  • 5 Burch HB, Wartofsky L. Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am 1993; 22 (02) 263-277
    CrossrefPubMedGoogle Scholar
  • 6 Graham BB, Burnham EL, Janssen JS, Janssen WJ. Dyspnea, chest pain, and altered mental status in a 33-year-old carpenter. Chest 2008; 134 (05) 1074-1079
    CrossrefPubMedGoogle Scholar
  • 7 Karaören GY, Sahin OT, Erbesler ZA, Bakan N. Thyroid storm due to head injury. Ulus Travma Acil Cerrahi Derg 2014; 20 (04) 305-307
    CrossrefPubMedGoogle Scholar
  • 8 Satoh T, Isozaki O, Suzuki A. et al. 2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society (First edition). Endocr J 2016; 63 (12) 1025-1064
    CrossrefPubMedGoogle Scholar
  • 9 Angell TE, Lechner MG, Nguyen CT, Salvato VL, Nicoloff JT, LoPresti JS. Clinical features and hospital outcomes in thyroid storm: a retrospective cohort study. J Clin Endocrinol Metab 2015; 100 (02) 451-459
    CrossrefPubMedGoogle Scholar
  • 10 Chiha M, Samarasinghe S, Kabaker AS. Thyroid storm: an updated review. J Intensive Care Med 2015; 30 (03) 131-140
    CrossrefPubMedGoogle Scholar
  • 11 Carhill A, Gutierrez A, Lakhia R, Nalini R. Surviving the storm: two cases of thyroid storm successfully treated with plasmapheresis. BMJ Case Rep 2012; 2012: bcr2012006696
    CrossrefPubMedGoogle Scholar