Thyroid storm as precipitating factor in onset of coma in an elderly woman: Case report and literature review

Aging Clinical and Experimental Research

Volumn 16, Issue 6, 2004, Pages 490-494

  Trasciatti, Stefano ^a   Prete, Camilla ^a   Palummeri, Ernesto ^a   Foppiani, Luca ^a,b  

^a GALLIERA HOSPITAL   (Italy)

^b UNIVERSITY OF GENOA   (Italy)

Author keywords

Antithyroid drugs; Coma; Elderly; Hypernatremia; Thyroid storm

Indexed keywords

ALANINE AMINOTRANSFERASE; ALBUMIN; ANTIARRHYTHMIC AGENT; ANTITHYROID AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CREATINE KINASE; CREATININE; DIGOXIN; ENOXAPARIN; GLUCOSE; IODINE; LACTATE DEHYDROGENASE; LIOTHYRONINE; POTASSIUM; SODIUM; SOTALOL; THIAMAZOLE; THYROGLOBULIN ANTIBODY; THYROID ANTIBODY; THYROID PEROXIDASE; THYROTROPIN; THYROXINE; VERAPAMIL;

AGED; ALANINE AMINOTRANSFERASE BLOOD LEVEL; ALBUMIN BLOOD LEVEL; ANEMIA; ANTIBODY BLOOD LEVEL; APATHY; ARTICLE; CASE REPORT; CONFUSION; CREATINE KINASE BLOOD LEVEL; CREATININE BLOOD LEVEL; EARLY DIAGNOSIS; ELECTROCARDIOGRAM; FEMALE; FOLLOW UP; FREE LIOTHYRONINE INDEX; FREE THYROXINE INDEX; GERIATRIC CARE; GLASGOW COMA SCALE; HUMAN; HYPERGLYCEMIA; HYPERKALEMIA; HYPERNATREMIA; HYPEROSMOLALITY; HYPERTHYROIDISM; LACTATE DEHYDROGENASE BLOOD LEVEL; MENTAL DETERIORATION; RISK FACTOR; SUPRAVENTRICULAR TACHYCARDIA; SYMPTOMATOLOGY; THYROID CRISIS; THYROID FUNCTION; THYROTROPIN BLOOD LEVEL; TREATMENT OUTCOME;

EID: 13544251733     PISSN: 15940667     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF03327408     Document Type: Article

References (27)

1. Feske SK. Coma and confusional state: emergency diagnosis and management. Neurol Clin 1998; 16: 237-56.
2. Chiovato L, Mariotti S, Pinchera A. Thyroid diseases in the elderly. Baillière's Clin Endocrinol Metab 1993; 11: 251-70.
3. Burch HB, Wartofsky L. Life threatening thyrotoxicosis: thyroid storm. Endocrinol Metab Clin North Am 1993; 22: 263-77.
4. Ringel MD. Management of hypothyroidism and hyperthyroidism in the intensive care unit. Crit Care Clin 2001; 17: 59-74.
5. Adrogue HJ, Madias NE. Hypernatremia. N Engl J Med 2000; 342: 1493-9.
6. Dayan CM, Daniels GH. Chronic autoimmune thyroiditis. N Engl J Med 1996; 335: 99-107.
7. Kraiem Z, Baron E, Kahana L, Sadeh O, Sheinfeld M. Changes in stimulating and blocking TSH receptor antibodies in a patient undergoing three cycles of transition from hypo to hyperthyroidism and back to hypothyroidism. Clin Endocrinol 1992; 36: 211-6.
8. Volpe R. Evidence that the immunosuppressive effects of antithyroid drugs are mediated through actions of the thyroid cell, modulating thyrocyte-immunocyte signalling: a review. Thyroid 1994; 4: 217-23.
9. Davies TF, Roti E, Braverman LE, DeGroot LJ. Thyroid controversy-stimulating antibodies. J Clin Endocrinol Metab 1998; 83: 3777-85.
10. Wilson BE, Hobbs WN. Pseudoephedrine-associate thyroid storm: thyroid hormone-catecholamine interactions. Am J Med Sci 1993; 306: 317-9.
11. Serri O, Gagnon RM, Goulet Y, Somma M. Coma secondary to apathetic thyrotoxicosis. Can Med Assoc 1978; 119: 605-7.
12. Masambu JK. Apathetic hyperthyroidism: a case report and review of the literature. East Afr Med J 1979; 56: 344-6.
13. Dodd MJ, Blacke DR. A case of apathetic thyrotoxicosis simulating malignant disease. Postgrad Med J 1980; 56: 359-60.
14. Schermer RM, Morley JE, Sharp B, et al. Apathetic thyroid storm associated with anasarca and thrombocytopenia. JAMA 1980; 243: 2485 (Letter).
15. Laman DM, Berghout A, Endtz LY, van der Vijver JC, Wattendorff AR. Thyroid crisis presenting as coma. Clin Neurol Neurosurg 1984; 86: 295-8.
16. Howton JC. Thyroid storm presenting as coma. Ann Emerg Med 1988; 17: 343-5.
17. Aiello DP, DuPlessis AJ, Pattishall EG III, Kulin HE. Thyroid storm presenting with coma and seizures in a 3-year-old girl. Clin Pediatr (Phila) 1989; 28: 571-4.
18. Gilbert RE, Thomas GW, Hope RN, et al. Coma and thyroid dysfunction. Anaesth Intensive Care 1992; 20: 86-7.
19. Pugh S, Lalwani K, Awal A. Thyroid storm as a cause of loss of consciousness following anaesthesia for emergency caesarian section. Anaesthesia 1994; 49: 35-7.
20. Lee TG, Ha CK, Lim BH. Thyroid storm presenting as status epilepticus and stroke. (Letter) Postgrad Med J 1997; 73: 61.
21. Feroze M, May H. Apathetic thyrotoxicosis. Int J Clin Pract 1997; 51: 332-3.
22. Soares AD, Falcao LM, De Barros E. Hypothyroid coma and thyrotoxic crisis. Acta Med Port 1997; 10: 837-43.
23. Ho SC, Eng PH, Ding ZP, et al. Thyroid storm presenting as jaundice and complete heart block. Ann Acad Med Singapore 1988; 27: 748-51.
24. Homma M, Shimizu S, Ogata M, Yamada Y, Saito T, Yamamoto T. Hypoglycemic coma masquerading thyrotoxic storm. Intern Med (Japan) 1999; 38: 871-4.
25. Weber C, Scholz GH, Lamesch P, Paschke R. Thyroidectomy in iodine induced thyrotoxic storm. Exp Clin Endocrinol Diabetes 1999; 107: 468-72.
26. Ghobrial MW, Ruby EB. Coma and thyroid storm in apathetic thyrotoxicosis. South Med J 2002; 95: 552-4.
27. Yoon SJ, Kim DM, Kim JU, et al. A case of thyroid storm due to thyrotoxicosis factitia. Yonsei Med J 2003; 44: 351-4.